北京市丰台区2016—2018年登记管理结核病患者特征  

Epidemiological characteristics of tuberculosis in Fengtai District of Beijing, 2016-2018

作　　者：薛晓[1] 张东彦[1] XUE Xiao;ZHANG Dongyan(Fengtai District Center for Disease Control and Prevention,Beijing 100071,China)

机构地区：[1]北京市丰台区疾病预防控制中心

出　　处：《中国热带医学》2019年第7期675-677,687,共4页China Tropical Medicine

摘　　要：目的了解北京市丰台区结核病患者的流行特征,为结核病防控工作提供科学依据。方法对“结核病信息管理系统”中2016—2018年登记管理的结核病患者进行描述性分析。结果北京市丰台区2016—2018年共登记管理结核病患者1 516例,年平均登记率为22.17/10万;本区结核病定点医院收治725例(47.82%),市级定点医院北京胸科医院收治641例(42.28%),外区结防机构收治150例(9.90%);男性992例(65.44%),女性524例(34.56%);登记管理患者以25~<35岁的青壮年最多,占25.20%,其次为65岁以上的老年人,占19.60%;职业分布排在前3位的分别为家务及待业(31.40%)、离退人员(24.14%)、干部职员(11.28%);肺结核全年各月均有发病,无明显差别;北京市本地患者915例(60.36%),外地患者601例(39.64%);初治患者1 439例(94.92%),复治患者77例(5.08%);肺结核患者病原学阳性率3年平均为40.30%。结论加强本区定点医院的能力建设,提高区域收治能力;关注重点人群,如男性,青壮年,老年人口;做好流动人口结核病防控工作;提高初治患者治疗成功率,降低复治病例的产生;通过各种手段提高我区肺结核患者病原学阳性率。Objective To explore the epidemiological characteristics of tuberculosis in Fengtai District, provide scientific reference for the prevention and control of tuberculosis. Methods Descriptive epidemiological methods were used to analyze the data of tuberculosis patients registered in the Tuberculosis Management Information System in Fengtai District from 2016 to 2018. Results A total of 1 516 cases were registered from 2016-2018 with an average annual registration rate of 22.17/105;local tuberculosis designated hospitals registered 725 cases(47.82%), municipal designated hospital Beijing Chest Hospital registered 641 cases(42.28%), TB institution of other districts registered 150 cases(9.90%);there were 992 male cases(65.44%), 524 female cases(34.56%);the patients were mainly concentrated in age group 25-<35(25.20%), followed by group was people aged 65 or older(19.60%);three occupations with high case numbers were house worker and the unemployed(31.40%), the retired staff(24.14%) and the cadre(11.28%);cases occurred all year round, there was no difference between months;915 cases(60.36%) were local residents, 601 cases(39.64%) were migrant population. The primary cases were 1 439(94.92%), the relapse cases were 77(5.08%);average pathogenic positive rate of 3 years was 40.30%. Conclusions Strengthen capacity-building of local designated hospitals and improve their register ability;focus on key population groups such as the male, the young adults and the elder;strengthen the control work in the migrant population. Improve the success rate of primary case and lower the proportion of relapse cases;various methods should be used to improve the pathogenic positive rate.

关 键 词：肺结核 登记管理 流行病学 

分 类 号：R52[医药卫生—内科学]