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目的 :评价株洲市董家土段地区结核病防治工作成效。方法 :根据 43年结核病防治工作归口管理不同阶段的防治内容、特点、方法、效果进行分析。结果 :儿童卡介苗接种率逐年上升为 97%以上 ;儿童结核感染率 849/10万 ,成人结核发病率和患病率分别由 43 0 /10万、1170 /10万逐年下降到 85 /10万、10 4/10万 ;2 0年来儿童结核性脑膜炎发病率为零 ;肺结核死亡率在2 0世纪 80年代为 2 /10万 ,90年代为 0 5 /10万 ;儿童早期原发型结核治愈率 10 0 % ;成人初治肺结核短程化疗规律服药率99 5 % ,3个月痰菌阴转率 98 8% ,初治治愈率 99 3 % ,二年复发率 0 86% ,远期疗效满意率 99 5 %。结论 :结核病归口管理是控制结核病流行的最有效措施
OBJECTIVE: To evaluate the effectiveness of tuberculosis prevention and control in Dongjiaotu section of Zhuzhou City. Methods: According to the content, characteristics, methods and effects of prevention and treatment in different phases of tuberculosis control work in 43 years. Results: The rate of BCG vaccination among children increased from 97% to over one year. The TB infection rate among children was 849/10 million. The incidence and prevalence of tuberculosis in adults dropped from 43 0/10 million and 1170/10 million to 85/10 million respectively. 10 4/10 million; incidence of tuberculosis meningitis was zero in children in 20 years; tuberculosis death rate was 2/10 in the 1980s and 0 5/10 in the 1990s; early childhood primary tuberculosis was cured The rate of 100 sputum bacterial vaginosis was 99.8% in the first trimester, 99.3% in the first trimester and 86.7% in the second trimester, and the long-term curative effect was satisfactory Rate 99 5%. Conclusion: Tuberculosis control is the most effective way to control the prevalence of tuberculosis