2005—2010年云南省南华县肺结核的流行特征  

Epidemiological characteristics of pulmonary tuberculosis in Nanhua County of Yunnan Province from 2005-2010

作　　者：周兴亮 

机构地区：[1]云南省楚雄州南华县疾病预防控制中心,675200

出　　处：《职业与健康》2012年第7期844-845,847,共3页Occupation and Health

摘　　要：目的分析云南省南华县肺结核患者发病情况,探索其流行特征,为制定南华县结核病预防控制措施提供科学依据。方法收集南华县2005—2010年间的可疑结核病患者2 551例进行描述分析和单因素分析。结果 2005—2010年共筛查发现肺结核病患者1 270例,平均发病率为88.05/10万,其中2005年发病率最低,为72.12/10万;2009年发病率最高为108.47/10万;2年发病率比较,差异有统计学意义(χ2=17.35,P<0.01)。发病年龄主要分布在45～65岁之间,占66.3%;男女发病无差异;职业分布主要为民工,占91.4%;地区分布主要在山区少数民族聚集地。结论南华县结核病发病率逐年升高,应加强直接督导短程化疗(DOTS)策略的落实,对高发病率地区开展普查,尽可能发现涂阳病例,加大宣传和培训力度是控制结核的有效措施。[Objective]To analyze the epidemic status of pulmonary tuberculosis（TB） in Nanhua County of Yunnan Province,explore the epidemiological characteristics,and provide the scientific evidence for TB control and prevention in Nanhua county. [Methods]The descriptive analysis and single factor analysis were conducted in 2 551 cases of suspected TB cases which were Collected in Nanhua county during 2005-2010. [Results]During 2005-2010,a total of 1 270 TB cases were reported by screening,and the average incidence rate was 88.05/lakh.The incidence rate in 2005 was the lowest（72.12/lakh）,that in 2009 was the highest（108.47/lakh）,and the difference was significant（χ2=17.35,P0.01）.66.3% of patients were people aged 45-60 years old.There was no significant difference in incidence rate between men and women.91.4% of patients were farmer.Most of cases occurred in mountain minority areas. [Conclusion]The incidence rate of TB increases year by year in Nanhua County.It is necessary to strengthen the implementation of DOTS,carry out the mass screening in the areas with high incidence rate,detect the sputum smear positive cases as much as possible,and improve the education and training,in order to effectively control TB.

关 键 词：可疑肺结核 筛查 流行特征 

分 类 号：R181.3[医药卫生—流行病学]