河南省2004-2011年肺结核流行特征分析  

Analysis on the epidemic characteristics of pulmonary tuberculosis in Henan Province from 2004 to 2011

作　　者：尤爱国[1] 杨建华 聂轶飞[1] 张肖肖[1] 康锴[1] 王重建[3] 

机构地区：[1]河南省疾病预防控制中心传染病所流行病教研室,河南郑州450016 [2]郑州陇海医院儿童保健科,河南郑州450004 [3]郑州大学公共卫生学院流行病与卫生统计室,河南郑州450001

出　　处：《中华疾病控制杂志》2013年第9期778-780,共3页Chinese Journal of Disease Control & Prevention

基　　金：河南省科技厅重点攻关项目(122102310210)

摘　　要：目的 探讨河南省肺结核的流行特征,为制定防控策略提供科学依据.方法 采用描述性流行病学方法对河南省2004-2011年肺结核流行特征进行分析,圆形分布法分析肺结核的季节性分布特征.结果 2004-2011年,河南省共报告肺结核病例781 027例,年均发病率为103.48/10万,不同年份发病率间差异有统计学意义（χ2 =40 071.97,P＜0.001）.结核病发病月份以6月发病最多,1月份最少.圆形分布法算出,发病高峰日为6月7日,发病高峰期为1月26日～10月17日.人群特征,男性发病率高于女性（χ2=112060.00,P＜0.001）；青壮年及老年人发病率较高；农民发病数最多,为586 065例,占病例总数的75.04％.结论 河南省肺结核以散发为主,男性、青壮年及老年人为高危人群,农村为重点防控地区,学校等人群密集区易发生暴发疫情.Objective To explore the epidemic characteristics of pulmonary tuberculosis in Henan Province, Chi- na, so as to provide evidence for making preventive and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic characteristics of pulmonary tuberculosis in Henan province from 2004 to 2011. Circular distribution was used to analyze the seasonal characteristics of pulmonary tuberculosis. Results 781 027 cases were reported in Henan province during 2004 - 2011. The average of yearly incidence rate was 103.48/100 000. There were significant differences in the incidence rate in different years （ χ2 = 40 071. 97, P 〈 0. 001 ）. The highest and lowest incidence were in June and January, respectively. Circular distribution showed that the peak date was June 7th; the peak incidence was from January 26th to October 17th. The incidence rates for males was significantly higher than that for females, there were significant differences between males and females （ χ2 = 112 060. 00, P 〈 0. 001 ）. Incidence rates were rather high in young adults and the elderly. Farmers had the highest incidence in all occupations, and case number was 586 065, accounting for 75.04% of all cases. Conclusions Pulmonary tuberculosis in Henan province is sporadic. Male, young adults and the elderly are high risk groups. Rural areas are the focus for prevention and control. Outbreaks mainly happen in schools and other crowed places.

关 键 词：结核 肺 发病率 流行病学研究 

分 类 号：R183.3[医药卫生—流行病学]