2018年绵阳市肺结核流行特征及患者发现情况分析  

Epidemiological Characteristics and Case Report of Pulmonary Tuberculosis in Mianyang of Sichuan in 2018

作　　者：杨小蓉[1] 杨荣荣[2] 文艳[1] 孙宏英[1] 罗磊[1] 严昌武[1] YANG Xiaorong;YANG Rongrong;WEN Yan;SUN Hongying;LUO Lei;YAN Changwu(Mianyang Center for Disease Control and Prevention,Mianyang 621000,Sichuan Prouince,China;Ganzhou Center for Disease Control and Prevention,Ganzhou 341000,Jiangxi Province,China)

机构地区：[1]绵阳市疾病预防控制中心,四川锦阳621000 [2]赣州市疾病预防控制中心,江西贛州341000

出　　处：《预防医学情报杂志》2020年第8期977-981,共5页Journal of Preventive Medicine Information

基　　金：四川省绵阳市乙肝与结核病、凉山州布拖县艾滋病综合防治示范区规模化现场队列研究(项目编号:2018ZX10715003);四川省绵阳市艾滋病、乙肝和结核病规模化现场流行病学干预及分级协同综合防治一体化示范研究(项目编号:2012ZX10004-901)。

摘　　要：目的分析2018年绵阳市肺结核流行特征及患者发现情况,为本市制定更加有效的结核病防控措施提供依据。方法利用结核病管理信息系统,搜集绵阳市2018年报告的肺结核患者人口学特征、肺结核及疑似肺结核患者转诊追踪、患者发现方式等数据,采用Excel 2010和Stata 15.0软件对资料进行描述流行病学分析。结果 2018年绵阳市报告肺结核2 568例,其中病原学阳性患者914例,肺结核报告发病率53.11/10万,病原学阳性报告发病率18.90/10万。肺结核报告发病率前3位的县区是梓潼县(69.67/10万)、安州区(62.74/10万)和三台县(58.30/10万)。男性肺结核发病率(70.02/10万)高于女性肺结核发病率(27.38/10万),差异有统计学意义(χ~2=450.05,P<0.05)。报告发病率最高的年龄段为25~34岁组(82.37/10万)、45~54岁组(67.37/10万)、65~74岁组(66.32/10万)和15~24岁组(66.12//10万)。肺结核患者职业以农民为主(1 574例,66.67%)。非结核病防治机构共报告应转诊肺结核及疑似肺结核患者4 243例,到位4 164例,总体到位率98.14%;肺结核患者主要以被动发现方式为主(2 106例,97.62%)。结论绵阳市应加强青年、老年和农民肺结核防治相关工作,增加居民防病治病意识,及早发现肺结核患者,减少肺结核传播。Objective To analyze the epidemic characteristics and case report of pulmonary tuberculosis(PTB)in Mianyang in 2018,in order to provide a scientific basis for PTB prevention and control.Methods The data of demographic characteristics of PTB patients,transferring and tracing status of PTB and suspected PTB patients,and finding ways of PTB patients in Mianyang in 2018 were extracted from the Management Information System for Tuberculosis and were conducted descriptively epidemiological analysis by Excel 2010 and Stata 15.0.Results A total of 2361 PTB cases were reported in Mianyang in 2018,including 914 positive of etiological patients,with an incidence of PTB of 53.11/105 and an incidence of etiological positive report of 18.90/105.The top three counties/districts of PTB were Zitong(62.74/105),Jiangyou(55.40/105),and Santai(54.64/105)The incidence of PTB in males(70.02/105)was higher than that in females(27.38/105,χ~2=450.05,P<0.05).The age groups with the highest report incidence was 25-34 years old group(82.37/105),45-54 years old group(67.37/105),65-74 years old group(66.32/105)and 15-24 years old group(66.12/105).Most of the PTB patients were farmers(1574 cases,66.67%).A total of 4243 cases of tuberculosis and suspected tuberculosis were reported to be transferred by non-TB dispensaries,among them 4164 cases were given the corresponding management(98.14%).A total of 2106 cases(97.62%)were passively diagnosed with PTB.Conclusion In order to find the PTB patients as soon as possible and reduce the spread of tuberculosis to the most extent,it is suggested that the prevention and treatment of PTB in Mianyang should be strengthened in the young and elderly people and farmers,and to improve people’s awareness of the prevention and treatment of PTB.

关 键 词：肺结核 流行病学 疫情分析 

分 类 号：R181.2[医药卫生—流行病学]