石家庄市2001-2012年登记的肺结核病人情况分析  

Analysis of Pulmonary Tuberculosis Patients Registered in Shijiazhuang from 2001 to 2012

作　　者：郭付爱[1] 周吉坤[1] 朱建良[1] 何立新[1] 赵子运[1] 李亚楠[1] 

机构地区：[1]石家庄市疾病预防控制中心,河北石家庄050011

出　　处：《现代预防医学》2014年第20期3802-3805,3811,共5页Modern Preventive Medicine

摘　　要：目的分析石家庄市12年来肺结核病疫情变化趋势。方法对石家庄市12年来的肺结核病防治工作的季报、月报以及肺结核病信息专报系统的各种资料进行收集、整理和描述性分析。结果 12年来石家庄市共登记活动性肺结核病人60 766人,年平均登记率54/10万,其中新涂阳36 936人;15~64岁组占全部新涂阳的80.3%,0~14岁组占全部新涂阳的0.4%,男女比为2.3︰1,除女性65岁以上组有增高的趋势外,其他年龄组无明显变化;职业分布以农民最多22 474例,占总病人数的76.1%,其次是学生2 237例,占总病人数的7.6%;农村县（市）活动性肺结核年平均登记率为61/10万,城区为29/10万。结论肺结核的疫情形势和发病特征12年来无明显变化,疫情仍然较重,且发病仍以农村的男性中青年为主,今后的防治重点仍应放在农村,但也要多关注学生和老年肺结核的防治。Objective This study aims to analyze the trend of pulmonary tuberculosis （TB） epidemic in Shijiazhuang city from 2001 to 2012. Methods The quarterly and monthly reports on the local TB prevention and control work as well as all available patient registration information from the TB information report system from 2001 to 2012 in Shijiazhuang city were collected, sorted, and analyzed using the descriptive analysis method. Results From 2001 to 2012, a total of 60766 active TB patients were registered in Shijiazhuang city including 36936 new smear-positive patients. The average registration rate was 54/100000. The male to female ratio was 2.3： 1. The 15 to 64 age group accounted for 80.3% of all new smear-positive patients （29676/36936）. The 0 to 14 age group accounted for 0.4% of all new smear-positive patients. New smear-positive patients did not show any significant changes in all age groups for the 12 years, except for the over 65 female group, which showed a rising trend. Farmers accounted for 76.1% of the total patients （22474 cases）, the largest among all professions; followed by students, which accounted for 7.6% of the total patients （2237 cases）. The average registration rate in rural area was 61/100000, which is significantly higher than the urban area （29/100000） in the 12 years. Conclusion There was no significant change in the epidemic situation and morbidity characteristics of TB in the 12 years. The TB outbreak remained to be serious and the young and middle aged males in the rural area remained to carry the highest risk of TB infection. The future efforts of TB prevention and control should still focus on the rural area and more attention should be paid to the prevention and control of TB among students and the elderly.

关 键 词：肺结核 肺/预防和控制 登记 石家庄 

分 类 号：R183.3[医药卫生—流行病学]