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机构地区:[1]北京市平谷区结核病预防控制中心,101200
出 处:《职业与健康》2010年第23期2804-2806,共3页Occupation and Health
摘 要:目的了解2005—2009年北京市平谷区肺结核发病情况及流行特点,探讨农村肺结核预防与控制策略,保障结核病防治工作的可持续发展。方法采用描述性流行病学方法对平谷区2005—2009年肺结核登记数据进行分析。结果 2005—2009年该区当地人口登记活动性肺结核559例,年均新登记率、涂阳新登记率、新涂阳登记率分别为28.19/10万、13.27/10万、11.85/10万,较2000—2004年分别提高了70.5%、+94.7%、103.3%。该区各乡镇均有病例报告,病例主要集中在山区金海湖镇,共登记118例,占全区活动性肺结核的21.1%,年均新登记率为77.79/10万,是全区的2.5倍;季节性发病以每年第2季度发病例数最多,是同年第四季度的1.1~2.6倍;发病年龄主要集中在15~59岁,男性405例,女性154例,男女性别比为2.6∶1,涂阳肺结核以45岁以上中老年男性居多。结论将结核病控制工作的重点放到农村,对高发地区、重点人群进行定期监测。发现和控制肺结核病传染源是预防和控制结核病的最有效措施。[Objective] To understand the incidence and epidemic characteristics of tuberculosis (TB) in Pinggu district of Beijing from 2005 to 2009, study the prevention and control measures in rural area, so as to guarantee the sustainable development of TB prevention and control.[Methods]The data of registered TB cases in Pinggu district from 2005 to 2009 were analyzed with descriptive epidemiologic method.[Results]From 2005 to 2009, 559 cases of active TB had been registered in the district, the annual new case registration rate, the annual new registration rate of smear-positive case and the annual new smear-positive registration rate was 28.19/lakh, 13.27/lakh and 11.85/lakh respectively, which increased by 70.5%, 94.7% and 103.3% than period 2000-2004. The cases were reported in every township of this district. 118 cases had been registered in Jinhaihu township, which accounted for 21.1% of all active TB cases in this district, and the annual new case registration rate was 77.79/lakh, which was the 2.5 times than that of the district. The second quarter was the peak season, which the cases number was the 1.1~2.6 times than the fourth quarter in the same year. Most patients were people aged 15~59. 405 cases were male, 154 cases were female, and the ratio of male to female was 2.6∶1. The majority of smear-positive cases were aging male above 45 years old.[Conclusion]The rural area should be regarded as the key point of TB control, and the regular monitoring should be carried out on high-incidence areas and focus group. To find and control the TB infection source is the most effective measure in TB prevention.
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