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目的了解丽水市结核病控制现状,为制定结核病防治对策提供依据。方法采用回顾性调查方法对丽水市2008—2012年国家结核病管理信息系统中登记的所有初诊患者及结核病患者的信息进行分析。结果初诊查痰率从2008年的72.34%提高到2012年的92.32%(P﹤0.01);非结防机构的转诊到位率从2008年的27.66%提高到2012年的44.78%,总到位率从2008年的76.36%提高到2012年的90.26%(P﹤0.01);肺结核患者新登记率从2008年的62.56/10万下降到2012年的52.16/10万,涂阳新登率从23.62%下降到15.38%;2007—2011年初治涂阳肺结核患者平均治愈率为90.10%。结论丽水市自实施现代结核病控制策略以来,结核病得到了有效的控制。
Objective To understand the status quo of tuberculosis control in Lishui City and provide the basis for formulating tuberculosis prevention and control measures. Methods The retrospective survey method was used to analyze the information of all newly diagnosed patients and TB patients registered in National TB Management Information System of Lishui City from 2008 to 2012. Results The number of newly diagnosed sputum increased from 72.34% in 2008 to 92.32% in 2012 (P <0.01). The referral rate of non-performing institutions increased from 27.66% in 2008 to 44.78% in 2012, and the total arrival rate From 76.36% in 2008 to 90.26% in 2012 (P <0.01). The new registration rate of tuberculosis patients dropped from 62.56 / 100000 in 2008 to 52.16 / 100000 in 2012, while the rate of smear positive change from 23.62% To 15.38%. The average cure rate of smear-positive pulmonary tuberculosis in 2007-2011 was 90.10%. Conclusion Since the implementation of modern TB control strategy in Lishui City, TB has been effectively controlled.