渭南市临渭区2005~2011年结核病疫情的流行病学分析

目的为了解渭南市临渭区结核病疫情发病趋势和流行特点，为制定结核病控制策略提供科学依据。方法对渭南市临渭区2005～2011年结核病报表资料进行分析。结杲2005～2011年，渭南市临渭区新登记结核病例共3786例，结核病发病率为57．14／10万。其中新涂阳1664例，占总报告病例数的43．95％，报告复发涂阳病例为394例，占总报告病例数的10．41％，涂阴1694例，占总报告病例数的44．74％。男性、年龄15～64岁、农民是报告病例的主要人群，因病就诊、转诊是病例发现的主要方式；结核病病例管理显示，93．68％的新涂阳患者治愈，94．25％的涂阴患者己经完成了疗程，失访率和治疗失败率均较低。结论临渭区结核病防治在病例管理方面取得了一定的成绩，继续推进结核病综合防治策略，加强重点人群结核病监测力度依然面临着挑战。

The epidemiologic analysis of tuberculosis from 2005 to 2011 in Linwei District, Weinan City

Objective To explore the prevalence tendency and the epidemic characteristics of tuberculosis in Linwei District of Weinan City so as to provide scientific basis for the tuberculosis control strategy. Methods The tuberculosis data from 2005 to 2011 in Linwei District were collected and analyzed. Results From 2005 to 2011, 3 786 new cases of tuberculosis are registered and the reported rate of tuberculosis is 57.14/100 000. Of all the repor- ted cases, 1 664 are the new smear positive, accounting for 43.95% of the total reported cases; 394 are the recurrent smear positive, accounting for 10.41%; 1 694 are the smear negative, accounting for 44.74%..The main reported cases are male, aged 15-64 years old or engaged in the farming jobs The cases detection is mainly from treatment-seeking due to symptoms of tuberculosis or referral; tuberculosis cases management shows that 93.68% of the new smear positive has been cured, 94.25% of the smear negative has completed the course of treatment, and dropout rate and treatment failure rate are lower. Oonclusion Though some progress has been made in the tuberculosis case control management in Linwei District, the further advancement in tuberculosis comprehensive prevention and control strategy and the strengthening on the monitoring of tuberculosis crowd are still facing a great challenge.