邢台县西部山区2010—2014年肺结核患病状况分析  

Analysis of prevalence of pulmonary tuberculosis in Western Mountain Area of Xingtai County from 2010 to 2014

作　　者：冯小英 卢杰[2] 

机构地区：[1]邢台县医院内科,河北邢台054000 [2]邢台市疾病预防控制中心结核科,河北邢台054000

出　　处：《中国热带医学》2016年第3期230-232,共3页China Tropical Medicine

基　　金：邢台市科学技术研究与发展计划项目(No.2013ZC213)

摘　　要：目的分析2010—2014年邢台县西部山区肺结核患病情况,为提高结核病防控效果提供依据。方法利用《中国疾病预防控制信息系统》结核病信息管理系统,对邢台县西部山区肺结核患者就诊内容进行汇总、统计和分析。结果 2010—2014年,邢台县累计接诊西部山区疑似肺结核5 109例,年均就诊率2.63‰,不同年度就诊率差异有统计学意义（P〈0.001）;确诊肺结核1 224例,年均登记率为62.96/10万,不同年度登记率差异具有统计学意义（P〈0.001）;发现耐药菌株23株,结核分支杆菌总耐药率为12.92%,耐多药率为5.06%,广泛耐药率为0.56%;肺结核就诊来源依次是因症就诊、转诊、追踪和因症推荐,共1 201例占98.12%;职业分布依次是农民和学生,分别占84.89%和7.52%;15～64岁年龄组是主要感染人群,共1 088例占88.89%,男性病例明显多于女性,男女比例为2.02：1。结论邢台县西部山区肺结核患病情况呈下降趋势,加强对农民、学生和男性青壮年等重点人群结核病防治,是控制结核病流行的重要措施;提高基层医疗卫生机构结核病发现力度,及时将非结防机构发现的疑似肺结核患者转诊和追踪到结核病定点医院就诊,是提高肺结核发现和治疗管理的关键。Objective To analyze the prevalence of pulmonary tuberculosis（TB） in Western Mountain Area of XingtaiCounty from 2010 to 2014 to provide bases for enhancing the prevention and control of TB. Methods Epidemiological andclinical data of TB cases obtained from＂China Disease Prevention and Control Information System＂were summarized andanalyzed statistically. Results A total of 5 109 suspected TB cases were registered from 2010 to 2014. The annualattendance rate varied among these 5 years（P〈0.001） with an average of 2.63‰. A number of 1 224 cases were confirmedclinically as TB. The annual registration rate differed among the 5 years（P〈0.001） with an average of 62.96/100 000. Twentythree drug-resistant strains were found. The overall drug resistance rate of mycobacterium TB was 12.92% with 5.06% of multi-drug resistance and 0.56% of widespread drug resistance. Attendance of pulmonary TB was mainly due to clinical symptomsfollowed by sickness transfer, case follow up, and sickness referral with a total of 1 201 cases accounting for 98.12% of 1 224 confirmed cases. Patients were predominantly farmers（84.84%） followed by students（7.52%）. There were 1 088 of 1 224（88.89%） patients aged between 15 and 64 years with a male to female ratio of 2.02：1. Conclusion The prevalence of TBshowed a downward trend year by year in Western Mountain Area of Xingtai County. Strengthening the prevention of TB amongfarmers and students, particularly male adolescents and adults, was an important measure in control of TB epidemic. Enhancingthe discovery of TB in primary health care institutions, and transfer the suspected TB patients from TB prevention mechanismto the designated TB hospitals for diagnose and treatment were the key to improve detection, treatment and management ofpulmonary TB.

关 键 词：肺结核 山区 就诊 

分 类 号：R521[医药卫生—内科学]