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目的了解湖北省宜都市肺结核发病情况和流行特点,探讨预防与控制策略。方法对宜都市2010-2014年肺结核病例的有关资料进行统计和分析。结果 2010-2014年共报告肺结核病例2050例,平均发病为103.55/10万;男女病例数比值比为2.36∶1。肺结核病例中0~4岁年龄组无病例,病例主要集中在45岁以上中老年人群(70.39%),55~64岁组发病最多,发病率为25.96/10万;农民占80.88%,发病率为83.75/10万。结论宜都市自实施结核病控制项目、推行DOTS策略及实施三位一体防治模式以来,结核病防控工作取得了明显效果,肺结核涂阳病例的发病呈下降趋势。
Objective To understand the incidence and prevalence of pulmonary tuberculosis in Yidu City, Hubei Province, and to explore preventive and control strategies. Methods The data of tuberculosis cases in Yidu City from 2010 to 2014 were statistically analyzed. Results A total of 2050 pulmonary tuberculosis cases were reported from 2010 to 2014, with an average incidence of 103.55 / 100 000. The ratio of male to female cases was 2.36: 1. Cases of tuberculosis cases were 0-4 years old without disease cases, the cases mainly concentrated in the middle-aged and older people over the age of 45 (70.39%), 55-64 years old group the most incidence, the incidence was 25.96 / 100000; peasants accounted for 80.88%, the incidence 83.75 / 100,000. Conclusion Yidu has achieved remarkable results in prevention and control of tuberculosis since its implementation of the TB control project, implementation of the DOTS strategy and implementation of the trinity prevention and treatment program. The incidence of tuberculosis smear positive cases shows a decreasing trend.