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目的 考核评价结核病控制及卡介苗接种的预防效果。方法 采用回顾性调查收集 1986～ 1990年全省各医疗单位住院结核性脑膜炎病例的资料汇总分析。结果 1986～ 1990年全省结脑平均年发病率为1/ 10万。 5a间各年份的发病率分别为 1 3 2 / 10万、1 0 8/ 10万、1 0 2 / 10万、0 78/ 10万、0 82 / 10万。发病率高峰在 0～ 4岁组 ,粤东地区疫情较高。 75 6%的患者有结核接触史。结论 全省“七五”期间结脑疫情比“六五”期间有所下降 ,但下降速度缓慢 ,需继续加快控制传染源的传播及提高卡介苗接种质量
Objective To assess the effectiveness of tuberculosis control and BCG vaccination. Methods A retrospective survey was conducted to collect and analyze the data of cases of tuberculous meningitis in hospitals across the province from 1986 to 1990. Results The average annual incidence of tuberculosis in the province from 1986 to 1990 was 1 in 100,000. The incidence rate in each year of the 5a period was 1 3 2 / 10 000, 10 8 / 10 000, 10 2 / 100 000, 0 78 / 100 000, and 0 82 / 100 000, respectively. The peak incidence rate is in the 0 to 4 year old group, and the epidemic situation is high in eastern Guangdong. 75.6% of patients had a history of tuberculosis exposure. Conclusion The endemic epidemic in the province during the 7th Five-Year Plan period was lower than that in the 6th Five-Year Plan period, but the rate of decline was slow. It is necessary to continue to speed up the control of the spread of infectious sources and improve the quality of BCG vaccination.