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目的分析克拉玛依市结核病防治工作效果,为今后开展执行结核病防治工作提供借鉴。方法对20012015年全市结核病初诊患者登记簿,肺结核患者登记簿和《全国结核病管理信息系统》中的结核病流行病数据进行收集与分析。结果 2001 2015年共发现活动性肺结核患者2 340例,其中涂阳肺结核患者1 217例、涂阴肺结核患者1 123例,活动性肺结核患者登记率总体呈下降趋势(P=0.001);新涂阳肺结核患者平均治愈率为93.63%,达到国家要求的85.00%以上;减少因结核病死亡病例587例,避免了986例新发结核病病例,减少医疗费用75.11万元,挽回社会经济价值14.28亿元。结论克拉玛依市结核病疫情维持在较低水平,但治疗管理、追踪到位率等指标有待进一步提高。
Objective To analyze the effect of tuberculosis prevention and control in Karamay City and provide reference for carrying out tuberculosis prevention and control work in the future. Methods To collect and analyze the tuberculosis epidemic data in the register of patients newly diagnosed with tuberculosis in 2001, the register of tuberculosis patients and the national tuberculosis management information system. Results A total of 21 340 active tuberculosis cases were detected in 2001, of which 1 217 were smear-positive pulmonary tuberculosis patients, 1 123 were smear-negative pulmonary tuberculosis patients, and the overall enrollment rate of active tuberculosis patients was declining (P = 0.001) The average cure rate of tuberculosis patients was 93.63%, reaching over 85.00% of the national requirements; 587 cases of deaths due to tuberculosis were reduced, 986 cases of new tuberculosis were avoided, the medical expenses were reduced to 751,100 yuan, and the social economic value was restored to 1,428,000,000 yuan. Conclusion The epidemic situation of tuberculosis in Karamay City is kept at a low level, but indicators such as treatment management, tracing the rate in place and so on need to be further improved.