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目的了解《全国结核病防治规划(2001—2010)》实施后,陕西省富县结核病疫情分布及防治工作现状,进而为改进和提高规划实施工作提供依据。方法对2004—2008年陕西省富县就诊登记的424例肺结核病特征及防治工作现状进行分析。结果陕西省富县结核病疫情时间分布主要集中于7～12月,占54.95%;农村明显高于城镇;15～54岁为结核病高发人群,占66.04%,男性多于女性,男女之比为1.77∶1;病例型别以Ⅲ型为主,占82.78%。初治与复治涂阳病人治愈率差异有统计学意义(P<0.01)。结论痰菌阴转率随着治疗的月份增加而提高;新涂阳病人发现率、涂阳病人治愈率均达到了规划指标。
Objective To understand the status of TB epidemic in Fuxian County of Shaanxi Province after the implementation of “National TB Control Program (2001-2010)” and to provide the basis for improving and enhancing the implementation of the plan. Methods A total of 424 pulmonary tuberculosis cases registered in Fuxian County, Shaanxi Province from 2004 to 2008 were analyzed retrospectively. Results The time distribution of tuberculosis in Fu County in Shaanxi Province was mainly from July to December, accounting for 54.95%. The rural area was significantly higher than that of urban areas. The prevalence of tuberculosis was 66.04% in 15 ~ 54 years old. There were more males than females, the ratio of male to female was 1.77 : 1; the type of cases is mainly type Ⅲ, accounting for 82.78%. The cure rate of newly diagnosed and retreated smear positive patients was statistically significant (P <0.01). Conclusions The sputum negative conversion rate increased with the increase of the month of treatment. The detection rate of new smear positive patients and the cure rate of smear positive patients reached the planning index.