2009-2019年西安市肺结核流行特征及治疗转归分析  

Epidemiological characteristics and treatment outcome of pulmonary tuberculosis in Xi’an,2009-2019

作　　者：崔彩岩[1] 李于于[1] 王艳飞[1] 张辉[2] CUI Cai-yan;LI Yu-yu;WANG Yan-fei;ZHANG Hui(Tuberculosis Preention and Control Section,Xi'an Center for,Duee Corol and Prenin,xi'an,Shanxi 710054,China;不详)

机构地区：[1]西安市疾病预防控制中心结核病预防控制科,陕西710054 [2]西安市疾病预防控制中心传染病预防控制科

出　　处：《现代预防医学》2020年第23期4241-4244,共4页Modern Preventive Medicine

基　　金：西安市科技局项目(J201903057)。

摘　　要：目的了解2009-2019年西安市肺结核的流行特征及治疗转归情况,为完善西安市肺结核防治策略提供依据。方法收集2009-2019年《传染病信息管理系统》中登记的肺结核患者病案信息数据,通过描述性研究方法对肺结核流行病学特征和治疗转归情况进行分析。结果 2009-2019年间西安市肺结核年平均发病率为49.06/10万。郊县、郊区、城区肺结核年平均发病率分别为54.13/10万、47.46/10万和46.19/10万;男性发病率是女性的1.85倍。职业分布排在前5位的为农民(47.48%),家政、家务及待业(14.65%),离退人员(9.55%),学生(8.63%)和工人(5.23%)。利福平敏感或耐药性未知患者的成功治疗率平均为98.03%,利福平耐药患者治疗成功率为51.47%。结论西安市近年来肺结核发病率和治疗率呈增长趋势,利福平耐药患者治疗成功率较低,要加强对重点人群的健康促进工作,加大肺结核发现力度及患者治疗管理工作。Objective To understand the epidemiological characteristics of pulmonary tuberculosis(PTB)and treatment outcome in Xi’an from 2009 to 2019 so as to provide the evidence for improving the control strategy of PTB control in Xi’an.Methods The data on patients with PTB from 2009 to 2019 were collected from Infectious Diseases Reporting System.The epidemiological characteristics and treatment outcome of PTB were analyzed with the descriptive statistics method.Results The average annual incidence of tuberculosis was 49.06/105 in Xi’an,2009-2019.The incidence in the suburban counties,suburbs and urban areas of Xi’an was 54.13/105、47.46/105、46.19/105,respectively(P<0.05).The incidence of male was 1.85 times that of female.Moreover,the top five occupations were farmer(47.48%),housework and unemployed(14.65%),retiree(9.55%),student(8.63%)and worker(5.23%).98.99%(42431/42863)of the PTB patients received anti-pulmonary tuberculosis drugs,with an average successful treatment rate of 98.03%for rifampicin-sensitive or unknown-resistant patientsand 51.47%for rifampicin-resistant patients.Conclusion The incidence and treatment rate of PTB in Xi’an has been increasing in recent years,and the success rate of treatment for rifampicin-resistant patients is low.Therefore,it is necessary to strengthen the health promotion for important groups and increase the detection of pulmonary tuberculosis and the management of patient treatment.

关 键 词：肺结核 流行特征 治疗转归 西安市 

分 类 号：R521[医药卫生—内科学] R181.3[医药卫生—临床医学]