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目的了解新疆昌吉市2003—2010年发现、登记、治疗涂阳肺结核病例达标情况。方法收集2003—2010年昌吉市疾病预防控制中心登记、治疗、管理的涂阳肺结核病例的信息,用描述流行病学方法进行分析。结果 2003—2008年涂阳肺结核发现率均超过70%,2005年最高达92.41%;自2009年以来发现率(32.47/10万)明显下降,较往年发现率最低的2008年(77.56/10万)下降58.14%,两者差异有统计学意义(χ2=63.72,P<0.01)。新发涂阳肺结核治愈率平均为77.67%;2004年最高85.50%,2007年最低69.17%;治疗失败、死亡、丢失、迁出、药物不良反应及其他等病例占22.33%,其中治疗失败率为3.96%。结论若将迁出和丢失的病例除外,该市涂阳肺结核病例平均治愈率(86.15%)已达到国家规定。
Objective To understand the case of registration, treatment of smear positive pulmonary tuberculosis cases in Changji, Xinjiang from 2003 to 2010. Methods The information of smear-positive pulmonary tuberculosis cases registered, treated and managed by Changji CDC from 2003 to 2010 was collected and analyzed by descriptive epidemiological methods. Results The prevalence of smear-positive pulmonary tuberculosis was more than 70% in 2003-2008, up to 92.41% in 2005. The detection rate (32.47 / 100000) since 2009 was significantly lower than in 2008 (77.56 / 100000) ) Decreased by 58.14%, the difference was statistically significant (χ2 = 63.72, P <0.01). The new cure rate of smear-positive pulmonary tuberculosis was 77.67%, the highest was 85.50% in 2004 and the lowest was 69.17% in 2007. The treatment failed, died, lost, moved out, adverse drug reactions and other cases accounted for 22.33% 3.96%. Conclusions The average cure rate of smear-positive pulmonary tuberculosis (86.15%) in this city has reached the national regulations except for those cases that will be relocated and lost.