上海市黄浦区1990—2013年肺结核疫情分析  

Epidemic situation analysis on tuberculosis from 1990 to 2013 in Huangpu District of Shanghai

作　　者：何丽华[1] 周建军[1] 宿飞[1] 许振慧[1] 

机构地区：[1]上海市黄浦区疾病预防控制中心,上海200023

出　　处：《上海预防医学》2015年第9期544-546,共3页Shanghai Journal of Preventive Medicine

基　　金：上海市黄浦区区科委课题(2012 HGG-51)

摘　　要：[目的]了解上海市黄浦区肺结核疫情的流行特征,评价防治工作的成效。[方法]运用生态学研究方法对1990—2013年黄浦区肺结核流行特征和趋势进行分析。[结果]1990—2013年,黄浦区肺结核的平均发病率为37.37/10万,发病总体呈逐渐下降趋势;平均死亡率为0.47/10万。老年男性(65岁以上)人群的发病率较高。病例中离退人员、工人、家务及待业者所占比例最高。[结论]1990—2013年,肺结核防控的效果显著。但大众的防控知识和意识欠缺、不规范治疗、耐药率高、流动人口众多等都对结核病防治带来挑战。结核病患者的诊断、治疗、管理仍需完善。[ Objective] To investigate epidemic characteristics of tuberculosis （TB） in Huangpu District of Shanghai, and evaluate the effects of its prevention and control. [ Methods ] Ecology research method was used to analyze epidemic characteristics of TB from 1990 to 2013 in Huangpu District. [ Results] In 1990 -2013, the average incidence rate of TB was 37.37/10^5, showing a trend of gradual decline as a whole and the average death rate was 0.47/10^5. The incidence rate in elderly males aged over 65 was the highest. Those with the highest morbidity were accordingly retirees, workers, housekeeping and the unemployed. [ Conclusion] The overall effect of control of TB was obvious in Huangpu District from 1990 to 2013. While public＇s lack of knowledge and awareness, non-standard cure, high rate of drug resistance and large numbers of floating population posed challenge for prevention and control. TB cure and control still need to be improved.

关 键 词：肺结核 疫情 特征 

分 类 号：R521[医药卫生—内科学] R181.8[医药卫生—临床医学]