山东省淄博市2005-2011年结核病疫情分析  

Prevalence of Tuberculosis in Zibo City of Shandong Province from 2005 to 2011

作　　者：李源[1] 张峰[1] 高风华[1] 李胥镁 马丽霞[1] 唐慧明[1] 

机构地区：[1]山东省淄博市疾病预防控制中心结核病防制所,山东淄博255026

出　　处：《现代预防医学》2014年第6期1130-1134,共5页Modern Preventive Medicine

摘　　要：目的探讨山东省淄博市近7年来结核病的流行特征，为制定结核病防治对策和开展防治工作提供科学依据。方法用Excel和SPSSl7．0对淄博市2005—2011年结核病管理信息系统中的结核登记资料进行描述性流行病学分析。结果2005—2011年共报告结核病例11362例，年均发病率37．534／10万，新涂阳6717例，年均新涂阳率22．190／10万；2006年报告病例最多，2008年以来病例数呈持续下降趋势；男性发病高于女性，发病率比为2．11：1；年龄集中在15—74岁，占病例总数的89．94％，发病率为41．664／10万；职业分布中以农民最多，其次为工人和学生，共占病例总数的79．90％；地区分布中前三位依次为桓台县、淄川区和张店区，占病例总数的49．45％；结核患者主要来源于因症就诊（44．46％）、转诊（37．39％）和追踪（11．93％），不同年度和地区情况不同；治疗情况中完成疗程比例逐年提高，但治愈比例却没有提高，结核死亡比例近年来有所下降。结论近年来淄博市结核疫情总体较为平稳，但防控任务依然繁重，应更加重视高危人群和高危地区结核病的发现、治疗和追踪管理工作。Objective This study aimed to analyze the epidemic characteristics of tuberculosis （TB） in Zibo city of Shandong province in order to provide a scientific basis for the formulation and implementation of policies for the control and prevention of TB. Methods Microsoft Excel and SPSS 17.0 were used for descriptive epidemiology analysis of TB data obtained from the TB Manage- ment Information System in Zibo city from 2005 to 2011. Results A total of 11 362 TB cases were reported from 2005 to 2011 and the annual incidence on average was 37.534/100 000. The number of new smear-positive cases was 6 717 and the annual incidence on average was 22.190/100 000. More cases were reported in 2006 than in any other years studied and there was a continuous downward trend since 2008. The ratio of male incidence to female incidence was 2.11： 1. Patients between 15 and 74 years old ac- counted for 89.94% and the incidence for that range is 41.664/100, 000. The top three occupations among patients were peasants, workers and students, who accounted for a combined 79.90% of the total patient population. The top three geographical regions were Huantai County, Ziehuan District and Zhangdian District, accounting for 49.45% of the total cases. Patients were mainly reported from clinical consultations （44.46%）, referrals （37.39%） and tracking （11.93%） with varying situations among different years and re- gions. The percentage of patients who completed treatment increased gradually, but the cure ratio didn＇t improve, while the propor- tion of death cases declined in recent years. Conclusion In recent years, the TB epidemiology in Zibo city was relatively stable, but its prevention and control remains an arduous task. More attention should be paid to case identification, treatment and tracking management in high risk groups and regions.

关 键 词：结核病 疫情分析 预防 控制 

分 类 号：R183.3[医药卫生—流行病学]