2010年甘肃省结核病流行病学调查检出结果分析  

Analysis of the detection result of TB epidemiological random survey in Gansu in 2010

作　　者：张岚 杨枢敏[1] 司红艳[1] 王雯[1] 何钰珏[1] 梁启军[1] 陈威涛[1] 高巧芬 刘芳[1] 

机构地区：[1]甘肃省疾病预防控制中心结核病防制科,兰州730000

出　　处：《中国防痨杂志》2011年第11期748-751,共4页Chinese Journal of Antituberculosis

摘　　要：目的分析2010年甘肃省结核病流行病学调查检出的活动性肺结核患者。方法 2010年根据全国第五次结核病流行病学抽样调查抽样原则,采取分层整群等比例随机抽样,对全省30个县42 613人进行了调查。结果实检人口42 613人,占应检人口的96.6%(42 613/44 119)。全省活动性肺结核患者检出率为298.0/10万(127/42 613),在45～岁组以上随着年龄增加,活动性肺结核的检出率也在缓慢增加,在75～岁组达到最高峰,检出率为1294.5/10万(12/927)。菌阳肺结核检出率为72.7/10万(31/42 613)。男、女20～、25～、30～岁组未发现菌阳患者。女性菌阳检出率在65～岁达到高峰(419.6/10万),男性80～岁组达最高峰(512.8/10万)。农村、城镇肺结核患者检出率分别为339.4/10万(81/23 864)、245.8/10万(46/18 714),经统计学检验,差异有统计学意义(χ2=3.091,P=0.047)。结论全省的结核病检出率较高,结核病疫情还很严重。且逐渐向老年弱势人群蔓延。今后10年甘肃省肺结核病预防和控制工作任重而道远。Objective To analyze the detection result of patients living with active TB in the 2010 TB epide-miological random survey in the Gansu. Methods The proportional stratified cluster random sampling method was employed in the fifth national TB epidemiological survey. A total of 42 613 people in 30 counties were examined. Results A total of 42 613 people in 30 counties were examined in this survey accounting for 96.6% （42 613/44 llg）of the eligible population. The overall detection rate of active tuberculosis was 298.0/1 000 000（127/42 613）. The de- tection rate increased slowly by age for people more than 45 years old, peaked in more than 75 years old group which was 1294.5/100 000 （12/927）. The overall bacterial positive TB detection rate was 72.7/100 000（31/42 613）. Bac- terial positive patient was not found in 20～, 254, 30～ age groups. Female bacteria positive detection rate reached a peak in 65～age group（419.6/100 000） ,male peaked in 80～ age old （512.8/100 000）. In rural and urban areas, TB detection rate was 339.4/100 000 （81/23 864） and 245.8/100 000 （46/18 714） respectively, the difference was statistically significant （X^2 =3. 091, P=0. 047） between the rural and urban areas. Conclusion The TB detection rate is high in Gansu, and the TB epidemic is still serious, and gradually spreading to the vulnerable elderly popula- tion. There is still a long way to go in the next 10 years.

关 键 词：结核 肺/流行病学 抽样研究 

分 类 号：R521[医药卫生—内科学]