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[目的]分析2001~2009年郴州市肺结核发病情况,为进一步做好该市结核病控制工作提供科学依据。[方法]对该市2001~2009年结核病控制报表及相关资料进行整理和统计分析。[结果]2001~2009年共接诊可疑病人109 090例,平均就诊率为269.81/10万,由2001年的187.64/10万上升至2009年的315.93/10万;共发现涂阳病人18 695例,涂阳病人登记率平均为46.24/10万;2001~2009年共治愈涂阳病人17 100例,涂阳病人治愈率平均为91.47%。涂阳病人中转诊所占百分率逐年上升,各年度间比较差异有统计学意义(P<0.01)。[结论]郴州市通过实施《规划》实现了高发现率和高治愈率的目标,各项主要指标达到《规划》要求,但对肺结核病人的耐药性问题必须引起高度重视。
[Objective] To analyze the incidence of pulmonary tuberculosis in Chenzhou from 2001 to 2009 and provide a scientific basis for further control of tuberculosis in this city. [Method] The report of tuberculosis control and relevant data of the city from 2001 to 2009 were collated and analyzed statistically. [Results] A total of 109 090 suspicious patients were admitted between 2001 and 2009, with an average visit rate of 269.81 / 100 000, rising from 187.64 / 100 000 in 2001 to 315.93 / 100 000 in 2009; smear positive patients 18 695 For example, the registration rate of smear-positive patients averaged 46.24 / 100,000; from 2001 to 2009, 17,100 cases of smear-positive patients were cured. The average cure rate of smear-positive patients was 91.47%. The percentage of referral patients in smear-positive patients increased year by year, with significant difference between years (P <0.01). [Conclusion] Chenzhou achieved the goal of high detection rate and high cure rate through the implementation of “planning”, and all the major indicators met the requirements of “planning”. However, the problem of drug resistance of TB patients must be given high priority.