乌鲁木齐市流动人口肺结核患者特征分析  

Epidemic Characteristics of Tuberculosis in Floating Population in Urumqi

作　　者：陈阳贵[1] 刘亚洁 张为胜[1] 马丽[1] 吐逊古•吾拉英 曹明芹[2] CHEN Yanggui;LIU Yajie;ZHANG Weisheng;MA Li;TUXUNGU Wulaying;CAO Mingqin(Urumqi Center for Disease Control and Prevention,Urumqi 830026,Xinjiang Uygur Autonomous Region,China;School of Public Health,Xinjiang Medical University,Urumqi 830011,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]乌鲁木齐市疾病预防控制中心,乌鲁木齐830026 [2]新疆医科大学公共卫生学院,乌鲁木齐830011

出　　处：《预防医学情报杂志》2021年第4期449-453,共5页Journal of Preventive Medicine Information

基　　金：国家自然科学基金委-新疆联合基金项目(项目编号:U1903123);国家自然科学基金项目(项目编号:81860589)。

摘　　要：目的了解乌鲁木齐市流动人口肺结核患者的人群特征,为流动人口的结核病防治工作提供参考依据。方法基于2018年乌鲁木齐市肺结核患者的数据信息,采用χ~2检验分析与对比流动人口与非流动人口肺结核患者的人口学特征、临床特征及治疗转归特征之间的差异。结果 2018年乌鲁木齐市肺结核患者共计1 194例,其中流动人口(34.2%)(408/1 194)。与非流动人口相比,流动人口肺结核患者呈现男性为主(χ^(2)=11.091,P=0.01);40岁以下患者较多(χ^(2)=34.810,P<0.01);职业以家政及家务待业者、农民及工人、离退休人员为主的特点;流动人口的管理中全程管理方式比例低于非流动人口(χ^(2)=26.033,P<0.01);流动人口与非流动人口肺结核患者的治疗结局差异无统计学意义(P>0.05)。结论应结合流动人口的分布特征,减少患者就诊延迟、确诊延迟发现的发生,进一步加强对流动人口肺结核患者的全程管理和督导。Objective To understand the population characteristics of pulmonary tuberculosis patients in floating population in Urumqi,in order to provide reference for the prevention and treatment of tuberculosis in floating population.Methods Based on the data of tuberculosis patients in Urumqi in 2018,theχ^(2) test was used to analyze and compare the differences between the demographic characteristics,clinical characteristics,and treatment outcome characteristics of floating and non-floating populations of tuberculosis patients.Results In2018,there were 1194 cases of tuberculosis patients in Urumqi,of which the floating population accounted for 34.2%(408/1194).Compared with non-floating populations,tuberculosis patients in floating population were mainly male(χ^(2)=11.091,P=0.001),more patients were under 40 years old(χ^(2)=34.810,P<0.01),the occupations were mainly characterized by housekeeping,peasants,and retirees,the whole-process management rate of floating population was much lower than that of non-floating population(χ^(2)=26.033,P<0.001).There was no significantly statistical difference in the treatment outcomes of the two groups(P>0.05).Conclusion The occurrence of delayed patient visits and delayed diagnosis should be reduced according to the distribution characteristics of floating population,and the whole-process management and supervision of tuberculosis patients in floating population should be further strengthened.

关 键 词：肺结核 流动人口 流行特征 

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