2011—2016年天水市60岁以上老年肺结核病疫情监测分析  

Analysis of pulmonary tuberculosis in people over 60 year-old in Tianshui city during 2011—2016

作　　者：雷彩英 李江红[1] 唐志锋[1] 颜淑萍[1] 刘晓兰 谈晓燕[1] 

机构地区：[1]甘肃省天水市疾病预防控制中心,甘肃天水741000

出　　处：《疾病预防控制通报》2018年第1期37-39,共3页Bulletin of Disease Control & Prevention(China)

摘　　要：目的掌握甘肃省天水市老年人肺结核病的流行病学特征。方法利用结核病信息管理系统,收集并整理2011—2016年60岁及以上肺结核病病人的相关资料进行分析。结果 2011—2016年共登记老年肺结核病病人2 664例,年平均登记率13.50/10万,差异有统计学意义(χ~2=36.76,P=0.000);老年肺结核病病人发现方式主要为被动发现,包括因症就诊1 400例(52.55%)、转诊971例(36.43%),每年因症就诊(χ~2=21.06,)和转诊(χ~2=34.53)的构成比差异有统计学意义(P=0.000);老年肺结核病病人中痰培养阳性者共74例,药敏试验总耐药菌株18株,总耐药率24.32%。结论天水市老年肺结核病病例登记率逐渐下降,转诊病人逐渐增多。Objective To understand the epidemiological characteristics of pulmonary tuberculosis（TB） in elderly people in Tianshui city, Gansu province. Methods The information of people over 60 year-old with pulmonary TB during 2011—2016 was collected from TB information management system. Results There were 2 664 elderly TB cases registered in the city from 2011 to 2016. The annual average registration rate was 13.50/100 000. The difference in registration rates was statistical（χ~2=36.76, P=0.000） among years. The main way of finding elderly pulmonary TB cases was by passive detection, include symptomatic treatment（1 400 cases, 52.55%）, referral（971 cases, 36.43%）. There was statistical difference（P=0.000）in the proportion of symptomatic（χ~2=21.06） and referral（χ~2=34.53） treatment among years. During 2013—2016, there were totally 74 elderly pulmonary TB cases with positive sputum smear, and total 18 strains of drug-resistance by drug sensitive test, with the total drug-resistance rate of 24.32%. Conclusions The registration rates of elderly people with pulmonary TB decrease year by year in Tianshui city, while the referral cases increase gradually.

关 键 词：肺结核病 老年人 病人发现 

分 类 号：R52[医药卫生—内科学]