云南省6个县2010年结核病流行病学抽样调查分析  

Analysis of six county epidemiologic survey on tuberculosis of Yunnan province in 2010

作　　者：邱玉冰[1] 许琳[1] 陈留萍[1] 陈连勇[1] 侯景龙[1] 王芸[1] 

机构地区：[1]云南省疾病预防控制中心,云南昆明650022

出　　处：《慢性病学杂志》2013年第7期486-488,共3页Chronic Pathematology Journal

摘　　要：目的了解云南省6个县结核病的流行状况和危害多阶段程度,评价《结核病防治规划(2001-2010年)》的执行情况,为制订下一个十年规划奠定基础。方法采用分层整群等比例随机抽样。对流调点15岁以上人群进行X线胸片检查、并对可疑症状者或胸片异常者进行痰涂片检查和细菌培养。使用SPSS 16.0对数据进行统计学处理和分析。结果本次6个流调点的活动性肺结核患病率为1 085.44/10万,菌阳肺结核患病率为429.88/10万,涂阳患病率为150.46/10万。男性患病率为1 625.84/10万,女性患病率为554.13/10万(χ2=24.88,P<0.01)。60岁以上人群患病率2 300.79/10万,15~59岁患病率797.55/10万(χ2=30.32,P<0.01)。汉族活动性肺结核患病率859.29/10万,少数民族患病率1614.06/10万(χ2=10.36,P<0.01)。广南县活动性肺结核患病率较高,为2 398.52/10万;祥云县确诊22例活动性肺结核中9例为尘肺合并肺结核。结论云南省6个县的结核病疫情较重;男性患病率高于女性;老年患病率高于中青年;少数民族患病率更高;广南县患病率最高,可能与少数民族众多有关;祥云县肺结核患病率较高,可能与患有尘肺病有关。Objective To study the epidemiological situation and prevalence of tuberculosis in Yunnan province,and evaluate the implementation of Yunnan province Tuberculosis Control Program(2001-2010),as well as to provide the scientific basis for the next ten-year province Tuberculosis Control Program..Methods Stratified cluster random sampling method and proportional sampling were utilized.There are 6investigation stations in Yunnan province.Questionnaire and/or Chest X-ray Radiography were performed to population aged 15years and older.Sputum smear and cultural examination were performed to all people with suspect tuberculosis and/or abnormal chest x-ray.Results The prevalence of active,bacteriological positive and smear positive pulmonary tuberculosis(PTB)were 1085.44/100 000,429.88/100 000and 150.46/100 000respectively for the 6investigation stations.Men were more likely to suffer from tuberculosis than women,with prevalence of tuberculosis 1625.84/100000and 554.13/100000respectively(χ2=24.88,P<0.005).The prevalence of 60years and older age group(2300.79/100 000)is higher than that of 15-59years age group(797.55/100 000)(χ2= 30.32,P<0.005).Minority populations were more susceptible to tuberculosis than Han nationality.The prevalence of active,bacteriological positive and smear positive PTB in Guangnan county were 2398.52/100 000,1045.51/100 000and 246.00/100 000respectively,and were highest among the 6investigation stations.9out of 22 casess with active PTB in Xiangyun were complicated with pneumonoconiosis.Conclusions the epidemiologic situation of tuberculosis in Yunan province is still serious.Male,older age group and minority nationalities showed higher tuberculosis prevalence.The higher prevalence in Guangnan and Xiangyun may be due to its more Minority population and higher prevalence of pneumonoconiosis case respectively.

关 键 词：肺结核 流行病学调查 分析 

分 类 号：R52[医药卫生—内科学] R181.3[医药卫生—临床医学]