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目的了解武汉市青山区2005—2012年结核病控制工作情况,为全区2011—2015年结核病防治规划的实施提供依据。方法统计分析武汉市青山区8年的结核病资料、手工季度和年度报表及《中国结核病控制信息系统》数据资料,率的比较采用χ2检验。结果2005—2012年青山区登记活动性肺结核患者2848例,其中男2100例,女748例。男性活动性肺结核、新涂阳肺结核、复治涂阳肺结核和涂阴肺结核患者分别为女性患者的2.8倍(2100/748)、3.3倍(949/289)、5.3倍(159/30)和2.3倍(992/429)。初治涂阳和复治涂阳患者均以65~岁组老人为主,共计263例和52例,初治涂阳前三位从高到低依次为65~岁(263例)、45~岁(239例)、55~岁(159例);而涂阴则由高到低前三位依次为25~岁(268例)、15~岁(259例)、35~岁(242例);活动性肺结核职业分布上,离退休人员最多(711例),工人和家政家务及待业人员居第二位(647例)和第三位(489例)。年平均登记率分别为:活动性肺结核78.6/10万,初治涂阳34.2/10万,复治涂阳5.2/10万,涂阴39.2/10万;962例涂阳患者治愈,2008年及以后治愈率达90%及以上。因症就诊患者1073例,结核病防治机构因症就诊的活动性肺结核和涂阳肺结核患者由2005年的41.0%(133/324)和52.6%(70/133)下降到2012年的11.9%(40/336)和47.5%(19/40);非结核病专科医院查出1477例活动性肺结核和722例涂阳肺结核患者。结论武汉市青山区登记活动性肺结核患者男性多于女性,老年离退休患者居多,肺结核患者登记率不高,结核病防治机构因症就诊率下降。
Objective To understand the TB control work in Qingshan District of Wuhan City from 2005 to 2012 and provide evidence for the implementation of the TB prevention and control plan for the entire region from 2011 to 2015. Methods Statistical analysis of eight years of TB data, manual quarterly and annual reports and “China Tuberculosis Control Information System” data of Qingshan District of Wuhan City was conducted. The rates were compared using Chi-square test. Results A total of 2848 cases of active pulmonary tuberculosis were registered in Qingshan District from 2005 to 2012, of which 2100 were male and 748 were female. Male active tuberculosis, new smear positive tuberculosis, retreatment smear positive tuberculosis and smear negative tuberculosis patients were 2.8 times (2100/748), 3.3 times (949/289), 5.3 times (159/30) and 2.3 times Times (992/429). The smear-positive and retreated smear-positive patients were mainly aged from 65 to 26 years, with a total of 263 cases and 52 cases. The top three smear-positive cases were 65 to 26 years old (263 cases) Year-old (239 cases) and 55-year-old (159 cases), while the top three cases from top to bottom of the smear were 25 to 268 years old, 15 to 25 years old and 35 to 242 years old, (711 cases), the second (647 cases) and the third (489 cases) of domestic workers and domestic workers and the unemployed. The annual average registration rates were: active pulmonary tuberculosis 78.6 / 100000, newly diagnosed smear 34.2 / 100000, retreatment smear 5.2 / 100000, smear 39.2 / 100000; 962 smear positive patients cured in 2008 and After the cure rate of 90% and above. The number of active tuberculosis and smear-positive tuberculosis patients treated by tuberculosis control institutions dropped from 41.0% (133/324) in 2005 and 52.6% (70/133) in 2005 to 11.9% (40%) in 2012 / 336) and 47.5% (19/40), respectively; 1477 cases of active tuberculosis and 722 cases of smear positive pulmonary tuberculosis were detected in non-TB hospitals. Conclusion There are more males than the females in active QSQ in Qingshan District of Wuhan City, the majority of retired elderly patients and the low registration rate of TB patients.