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目的分析甘肃省天祝县“十二五”期间结核病防治规划实施情况,为结核病防治工作可持续发展提供科学依据。方法收集2011─2015年天祝县结核病防治工作各类报表及基础资料,用Excel建立数据库,并用Spss 13.0软件进行统计学分析。结果 2011─2015年天祝县共报告肺结核病患者1 512例,平均发病率166.39/10万,其中涂阳肺结核病患者267例、发病率29.38/10万;涂阴肺结核病患者1 245例、发病率137.00/10万;男性占64.95%,女性占35.05%,构成比差异有统计学意义(χ~2=270.35,P<0.05);15岁以下年龄组占0.40%,15岁~组占55.49%,60岁及以上组占44.11%,不同年龄组构成差异有统计学意义(χ~2=1 151.00,P<0.05);2013年起藏族肺结核病患者构成比逐年下降,不同年份差异有统计学意义(χ2=9.92,P<0.05)。结论 “十二五”期间,天祝县结核病防治规划工作成效显著,但防治形势依然严峻,建议国家加大对贫困地区结核病防治工作的经费支持力度,保证结核病防治工作的可持续发展,以有效控制结核病。
Objective To analyze the implementation status of tuberculosis prevention and control plan in Tianzhu County, Gansu Province during the period of “Twelfth Five-Year Plan” and provide a scientific basis for the sustainable development of tuberculosis prevention and control work. Methods Various reports and basic data of TB control in Tianzhu County from 2011 to 2015 were collected. The database was built with Excel and analyzed by using Spss 13.0 software. Results A total of 1 512 pulmonary tuberculosis cases were reported in Tianzhu County from 2011 to 2015, with an average incidence rate of 166.39 / 100 000, of which 267 were smear-positive pulmonary tuberculosis patients with a prevalence of 29.38 / 100 000; 1 245 cases of smear-negative tuberculosis patients, The incidence rate was 137.00 / 100000; the male accounted for 64.95%, the female accounted for 35.05%, the constituent ratio was statistically significant (χ ~ 2 = 270.35, P <0.05) 55.49% and 44.11% respectively in the group of 60 years old and above. There was significant difference between different age groups (χ ~ 2 = 1 151.00, P <0.05). From 2013 onwards, the constituent ratio of Tibetan tuberculosis patients decreased year by year. Statistical significance (χ2 = 9.92, P <0.05). Conclusion During the “Twelfth Five-Year Plan” period, the project of prevention and control of tuberculosis in Tianzhu County has achieved remarkable results. However, the situation of prevention and treatment is still grim. It is suggested that the government should increase funding support for tuberculosis prevention and control work in poor areas, ensure the sustainable development of tuberculosis prevention and control work, To effectively control tuberculosis.