甘肃省天水市2009—2014年肺结核疫情变化分析  

The change analysis of pulmonary tuberculosis 2009-2014 in Tianshui city of Gansu province

作　　者：赵文博[1] 李江红[1] 唐志锋[1] 雷彩英 颜淑萍[1] 谈晓燕[1] 刘晓岚[1] 王润祥 樊余庆 ZhAO Wen-bo LI Jiang-hong TANG Zhi-feng LEI Cai-ying YAN Shu-ping TAN Xiao-yan LIU Xiao-lan WANG Run-xiang FAN Yu-qing.(Tianshui Center for Disease Control and Prevention, Tianshui 741000, China)

机构地区：[1]甘肃省天水市疾病预防控制中心,741000

出　　处：《结核病与肺部健康杂志》2016年第1期37-41,共5页Journal of Tuberculosis and Lung Health

摘　　要：目的 分析天水市肺结核疫情的流行特征,为天水市的肺结核防控提供依据.方法 通过全国结核病信息管理系统收集天水市2009-2014年肺结核疫情资料,共收集6年登记的肺结核患者14 083例,其中新涂阳患者5418例,采用卡方和卡方趋势检验进行统计检验,以P＜0.05为有统计学意义.结果 2009-2014年天水市登记的发病率分别为84.44/10万、81.79/10万、78.45/10万、63.60/10万、55.90/10万、60.04/10万,呈逐年下降趋势（x2趋势=308.429,P=0.000）.6年登记的患者中,男性合计9338例,发病率为46.95/10万（9338/1 989 000）;女性合计4745例,发病率为23.86/10万（4745/1 989 000）,男女发病率经x2检验,差异有统计学意义（x2=1498.482,P=0.000）.年龄以15～45岁为主（占51.62％～61.18％,均超过1/2）.2009年登记的患者中65～74岁者占9.74％（276/2833）;2010年占10.89％（298/2736）;2011年占11.00％（288/2617）;2012年占11.57％（241/2083）;2013年占11.26％（207/1838）;2014年占12.60％（249/1976）,x毛势=8.892,P=0.003,差异有统计学意义,提示65～74岁者患者呈逐年上升趋势.职业以农民为主（占78.15％～85.22％）.结论 天水市肺结核疫情控制取得一定的效果,老年人群、青壮年人群、农民是工作的重点人群.Objective To analyze the characteristics of tuberculosis epidemic in Tianshui city, to provide evidence for the prevention and control of tuberculosis of Tianshui city. Methods By national tuberculosis information management system to collect Tianshui city tuberculosis epidemic data between 2009 and 2014, a total of 14 083 cases of TB patients were registered, among which 5418 cases of new smear-positive patients, Chi-square and chisquare trend test was used for statistical test, P〈0.05 was considered statistically significant. Results The incidence rate was 84. 44/100 000, 81.79/100 000, 78.45/100 000, 63.60/100 000, 55.90/100 000, 60.04/100 000 respectively from 2009 to 2014 in Tianshui city and the incidence showed a falling trend（x2 trend = 308. 429, P= 0. 000）; Male patients had a total of 9338 cases with the incidence rate of 46.95/100 000 （9338/1 989 000）, while female patients had a total of 4745 cases with the incidence rate of 23.86/100 000 （4745/1 989 000）, The difference by gender was statistically significant （x2= 1498. 482, P= 0. 000）. Patients between 15 and 45 years old accounted for 51.62%--61.18%, more than half of the patients. In 2009, patients between 65 and 74 years accounted for 9.74% （276/2833）; in 2010 accounted for 10.89% （298/2736）; in 2011 accounted for 11.00% （288/2617）; in 2012 accounted for 11.57% （241/2083）; in 2013 accounted for 11. 26% （207/1838）; in 2014 accounted for 12.60% （249/1976）,x2 trend =8. 892, P=0. 003, the difference was statistically significant, suggesting that patients between 65 and 74 years old is rising by year. In terms of the occupation, farmers accounted for 78.15% -- 85.22%. Conclusion Tuberculosis epidemic control achieved certain results, the elderly, young people, farmers are focus groups in Tianshui city.

关 键 词：结核 肺 疫情 分析 天水市 

分 类 号：R521[医药卫生—内科学]