2009—2017年陕西省结核病患者死亡监测分析  

Analysis on tuberculosis death surveillance in Shaanxi Province (2009-2017)

作　　者：赵燕 孙小璐 张天华 柳巍[2] ZHAO Yan;SUN Xiaolu;ZHANG Tianhua;LIU Wei(Shaanxi Provincial Institute for TB Control and Prevention,Xi’an 710048,China;Xi’an Center for Disease Control and Prevention,Xi’an 710054,China)

机构地区：[1]陕西省结核病防治研究所,西安710048 [2]西安市疾病预防控制中心

出　　处：《公共卫生与预防医学》2019年第2期25-29,共5页Journal of Public Health and Preventive Medicine

基　　金：陕西省卫生计生科研基金项目;陕西省耐多药肺结核患者管理立体综合模式研究(2016D097)

摘　　要：目的了解陕西省结核病患者死亡情况及其变化趋势。方法将陕西省2009—2017年登记的193 346例活动性结核病患者作为研究对象,应用Excel 2010对不同年份登记的结核病患者的总死亡情况、因结核病死亡的病死率进行分析,用SPSS 18.0统计软件,对不同年份、性别、年龄、地理特征、临床特征结核病患者病死率进行卡方检验。P为双侧概率,检验水准a=0.05。结果 2009—2017年陕西省结核病总死因各年的死亡率在0.27/10万～0.83/10万之间,病死率为0.75%;因结核病死亡病死率为0.13%。总病死率、总死亡率和因结核病死亡病死率近几年来均呈现上升趋势。男性结核病患者总病死率为0.85%(1 102/130 096),高于女性的总病死率0.55%(349/63 250),差异有统计学意义(χ~2=49.822,P=0.000)。随着年龄增长,患者总病死率和因结核病死亡病死率逐渐升高。陕南地区总病死率和因结核病死亡病死率均最高,关中地区次之,陕北地区最低,三个地区间两病死率差异均有统计学意义(P<0.05)。来源于转诊追踪患者、血型播散型结核病患者、病原学阳性患者因结核病死亡病死率均高于其他类型结核病患者。结论陕西省结核病患者总病死率和因结核死亡病死率均呈现上升趋势。男性患者、老年患者、血型播撒型结核病患者、病原学阳性患者病死率较高,陕南地区病死率高于其他地区。应该加强上述患者和地区的治疗管理工作。Objective To understand the tuberculosis(TB)mortality and its trends in Shaanxi Province. Methods Data of all 193 346 TB cases registered in Shaanxi Province were obtained from Chinese TB Information System from 2009 to 2017. Using Excel 2010 to analyse the total fatality rate and rates of death from TB. The mortality of TB patients in different years, gender, age, geographical characteristics and clinical characteristics was tested by using SPSS18.0 statistical software. Results From 2009 to 2017, the annual mortality rate of TB patients in Shaanxi Province ranged from 0.27/100 000 to 0.83/100 000, with a total fatality rate of 0.75%. The fatality rate of TB deaths is 0.13%. Total mortality, total fatality rate and the fatality rate of TB deaths have shown an upward trend in recent years.The total fatality rate of male tuberculosis patients was 0.85%(1 102/130 096), which was higher than that of female 0.55%(349/63 250). The difference was statistically significant (χ^2= 49.822, P=0.000). As age increases, the total fatality rate of patients and the fatality rate due to TB deaths increase. The total rate and the rate due to TB deaths were the highest in Southern Shaanxi, followed by Guanzhong, and the lowest in Northern Shaanxi. The difference in fatality rate between the three regions was statistically significant. The rate due to TB deaths from referral or follow-up, blood type disseminated and pathogenic positive tuberculosis patients is higher than other types of tuberculosis patients. Conclusion The total mortality and death rate of TB patients in Shaanxi Province showed an upward trend. Male, elderly, blood type disseminated and pathogenic positive tuberculosis patients had higher mortality. The fatality rate in southern Shaanxi is higher than that in other areas. The management of these patients and regions should be strengthened.

关 键 词：结核 肺/病死率 陕西省 

分 类 号：R183.3[医药卫生—流行病学]