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[目的]评价泰安市1998～2007年实施结核病控制策略情况与效果,为制订下一步结核病防治规划提供依据和参考。[方法]对1998～2007年泰安市结核病防治相关资料进行分析。[结果]1998～2007年,累计接诊107 141例可疑症状者,年均可疑者受检率为1.98‰,初诊查痰率为29.91%,痰检阳性率为41.32%,呈逐年上升趋势(P<0.01)。1998～2007年累计登记活动性肺结核病人17 729例,年均登记率为32.72/10万,其中涂阳病人、新发涂阳病人年均登记率分别为24.45/10万、19.81/10万。新发涂阳病人登记率(/10万),男性为28.70,女性为10.50(P<0.01);0～14岁、15～24岁、25～34岁、35～44岁、45～54岁、55～64岁、65岁以上分别为1.07、19.78、17.78、14.21、24.16、33.50、47.65(P<0.01)。10年累计治疗10 735例新发涂阳肺结核病人,治愈率为95.59%,病死率为0.82%。[结论]1998～2007年泰安市新发活动性肺结核病人登记率逐年上升,但就诊率远低于国家规定要求。
[Objective] To evaluate the situation and effect of tuberculosis control strategy implemented in Tai’an from 1998 to 2007, and provide the basis and reference for formulating the tuberculosis prevention and control plan in the future. [Method] The data of prevention and treatment of tuberculosis in Tai’an from 1998 to 2007 were analyzed. [Results] From 1998 to 2007, a total of 107 141 suspicious patients were admitted, the average annual suspicious rate was 1.98 ‰, the initial sputum examination rate was 29.91%, the positive sputum examination rate was 41.32%, showing an upward trend year by year P <0.01). From 1998 to 2007, a total of 17 729 cases of active pulmonary tuberculosis were registered, with an average annual registration rate of 32.72 / 100,000. The annual average enrollment rates of smear-positive patients and newly-developed smear-positive patients were 24.45 / 100,000 and 19.81 / 100,000 respectively. The number of new smear-positive patients registered at the rate of 10.70 for males and 10.50 for females (P <0.01); 0-14, 15-24, 25-34, 35-44, 45-54 , 55-64 years old, 65 years old above were 1.07,19.78,17.78,14.21,24.16,33.50,47.65 (P <0.01). 10 10 years cumulative treatment of 10 735 cases of new smear-positive pulmonary tuberculosis patients, the cure rate was 95.59%, the case fatality rate was 0.82%. [Conclusion] From 1998 to 2007, the registration rate of new active tuberculosis patients in Tai’an City increased year by year, but the consultation rate was much lower than the national regulations.