四川省绵阳市2013-2019年60岁以上人群肺结核流行特征  

Epidemiology of pulmonary tuberculosis in the elderly over 60 years old in Mianyang,Sichuan,2013-2019

作　　者：杨小蓉[1] 文艳[1] 孙宏英[1] 杨荣荣[2] 严昌武[1] YANG Xiao-rong;WEN Yan;SUN Hong-ying;YANG Rong-rong;YAN Chang-wu(Mianyang Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China;Ganzhou Center for Disease Control and Prevention,Ganzhou,Jiangxi 341000,China)

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

出　　处：《中国热带医学》2021年第6期526-530,共5页China Tropical Medicine

基　　金：国家科技重大专项(No.2018ZX10715003)。

摘　　要：目的分析四川省绵阳市60岁以上人群活动性肺结核患者的流行特征,为老年结核病防治提供参考依据。方法采用描述性研究方法,对2013-2019年绵阳市60岁以上老年肺结核登记发病情况进行分析。结果2013-2019年绵阳市老年人活动性肺结核登记发病率(91.00/10万)高于全人群(68.77/10万),差异有统计学意义(X^(2)=375.71,Р<0.01);病原学阳性肺结核登记发病率(29.74/10万)高于全人群(18.99/10万),差异有统计学意义(X^(2)=306.61,Р<0.01);七年间,绵阳市60岁以上老年肺结核呈下降趋势(X^(2)趋势=175.33,Р<0.01);60岁以上老年肺结核病原学阳性患者的登记发病率呈上升趋势(X^(2)趋势=11.11,P<0.01);60岁以上老年肺结核患者在全人群患者中占比呈上升趋势(X^(2)趋势=96.94,P<0.01);老年肺结核患者数和登记发病率均以60-<65岁组最多和最高;老年肺结核患者复治比例高于其他人群(X^(2)=44.39,P<0.01);老年肺结核人群重症比例高于其他人群重症比例(X^(2)=14.77,P<0.001)。结论绵阳市60岁以上老年肺结核登记发病率有所下降,但老年肺结核病原学阳性登记率呈上升趋势,且在全人群患者中占比增加,老年肺结核疫情仍然严峻,应加强对老年人群的结核病防治宣传,及早发现患者,切断传播途径,有效控制老年肺结核的传播流行。ObjectiveTo understand the epidemiological characteristics of the pulmonary tuberculosis (PTB) in elderly over 60 years old of Mianyang,Sichuan,and we provide reference for the prevention and control strategies of elderly PTB.MethodsDescriptive statistic was applied to analyze on the epidemiological characteristics of PTB in elderly in Mianyang from 2013 to 2019.ResultsThe average annual registration rate of elderly active tuberculosis(91.00/105) in Mianyang was higher than that of the whole population(68.77/105) from 2013 to 2019,the difference was statistically significant (χ2=375.71,P<0.01).The average annual registration rate of etiological positive PTB was higher in the elderly(29.74/105) than in the whole population(18.99/105),the difference was statistically significant (χ2=306.61,P<0.01).In the past 7 years,the incidence rates of PTB in the elderly was in decreasing year by year (χ2trend=175.33,P<0.01).The etiological positive PTB were in decreasing year by year (χ2trend=11.11,P<0.01).The proportion of active TB registered in the elderly people in total number of active TB cases which was increasing year by year (χ2trend=96.94,P<0.01).The case number in the elderly aged 60-<65 years was highest and the average annual incidence was highest.The proportion of retreated patients in elderly patients was higher than that of other age groups (χ2=44.39,P<0.01).The proportion of diagnosis severe cases in elderly patients was higher than that of other age groups<60 years (χ2=14.77,P<0.001).ConclusionThe registered incidence of active PTB in the elderly were in decrease,and the registered incidence of etiological positive PTB in the elderly were in increase in Mianyang,but the proportion of elderly PTB patients was still high.The epidemic situation of prevention and control of PTB in the elderly is still serious.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 strengthen

关 键 词：肺 结核 老年人 流行病学 

分 类 号：R521[医药卫生—内科学]