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目的了解近年驻京部队结核病流行趋势,为部队结核病防治工作提供依据。方法利用驻京部队结核病防治网,采用整群抽样的方法,2008-2012年连续监测被调查单位的结核疫情,填写军队结核病患者督导管理卡,分析5年来驻京部队结核病发病率、患病率及结核病例特征。结果 5年共监测官兵666 851人次,共新登记患者212例,结核年平均发病率31.97/10万,年底平均患病率20.89/10万。5年间结核年发病率、患病率均无明显变化,差异均无统计学意义(P>0.05)。新发肺结核患者187例,经过6~9个月短程化疗,临床治愈患者180例,治愈率96.26%。经1~5年随访,复治5例,复治率2.67%。复发及复治肺结核共30例,临床治愈26例,治愈率为86.67%。新发肺结核痰菌阳性率21.57%,复发复治肺结核痰菌阳性率40.00%,复发复治结核患者的痰菌阳性率高于新发结核患者的痰菌阳性率,差异有统计学意义(P<0.05)。结论驻京部队结核疫情低于全国疫情。驻京部队实施的现代结核病控制策略与措施取得了显著效果,近年来结核疫情呈低水平徘徊状态,但军队结核病控制有其自身特点,应有效防止不规律化疗造成的治疗失败,重视复发肺结核和老年结核病死亡。
Objective To understand the epidemic trend of TB in Beijing in recent years and provide the basis for TB prevention and control in the armed forces. Methods By using cluster sampling method in Beijing, the method of cluster sampling was used to continuously monitor the TB epidemic in the investigated units from 2008 to 2012, fill in the supervision and management card for military tuberculosis patients, and analyze the incidence and prevalence of tuberculosis in Beijing for 5 years And TB case characteristics. Results A total of 666 851 officers and soldiers were monitored over the past five years. A total of 212 newly registered patients were found. The average incidence of tuberculosis was 31.97 / 100,000 and the end of the year was 20.89 / 100,000. There was no significant difference in the incidence and prevalence of tuberculosis in 5 years (P> 0.05). 187 new cases of tuberculosis patients, after 6 to 9 months of short-course chemotherapy, clinical cure patients 180 cases, the cure rate was 96.26%. After 1 to 5 years of follow-up, retreatment in 5 cases, 2.67% rate of retreatment. Recurrent and retreated tuberculosis in 30 cases, 26 cases were cured, the cure rate was 86.67%. The positive rate of sputum bacterium in newly diagnosed tuberculosis was 21.57%, the positive rate of sputum bacterium in recurrent recurrent tuberculosis was 40.00%. The positive rate of sputum bacteremia in patients with recurrent recurrent tuberculosis was higher than that in newly diagnosed tuberculosis patients, the difference was statistically significant (P <0.05). Conclusions The TB epidemic in Beijing is lower than the national outbreak. Modern TB control strategies and measures implemented by the troops stationed in Beijing have achieved remarkable results. In recent years, the epidemic of tuberculosis has been at a low level. However, the control of tuberculosis in the armed forces has its own characteristics. It should effectively prevent treatment failure caused by irregular chemotherapy and attach importance to the recurrence of pulmonary tuberculosis and Elderly tuberculosis deaths.