2008—2019年重庆市学生肺结核报告发病特征分析  

Analysis on characteristics of reported pulmonary tuberculosis among students in Chongqing from 2008 to 2019

作　　者：范君 张文 张婷 汪清雅 余雅 成君[3] FAN Jun;ZHANG Wen;ZHANG Ting;WANG Qing-ya;YU Ya;CHENG Jun(Department of Control and Prevention,Institute of Tuberculosis Prevention and Treatment of Chongqing,Chongqing 400050,China)

机构地区：[1]重庆市结核病防治所防治科,400050 [2]重庆市结核病防治所行政办公室,400050 [3]中国疾病预防控制中心结核病预防控制中心重点人群部

出　　处：《中国防痨杂志》2021年第7期716-723,共8页Chinese Journal of Antituberculosis

基　　金：重庆市2021年科卫联合医学科研项目(2021MSXM142)。

摘　　要：目的分析2008—2019年重庆市学生肺结核报告发病特征,为重庆市有效控制学校结核病疫情提供参考。方法收集2008—2019年《传染病报告信息管理系统》中重庆市报告的学生肺结核疫情资料和《重庆市统计年鉴》中有关人口的数据,分析学生肺结核报告发病的三间分布。结果 2008—2019年重庆市共报告学生活动性肺结核25 918例,学生活动性肺结核年平均报告发病率为40.36/10万(25 918/64 222 000),报告发病率从2008年的58.72/10万(3067/5 223 100)下降到2019年的34.30/10万(1959/5 710 600),呈逐年下降趋势(χ趋势2=414.882,P<0.001)。12年间学生肺结核报告高峰为3月,平均报告占比为15.70%(4069/25 918),但在2017年前后报告高峰有所差异,2008—2017年报告高峰为3月,平均报告学生肺结核患者占比为17.42%(3781/21 711),而2018—2019年的报告高峰为9月和12月,平均报告学生肺结核患者占比分别为12.50%(526/4207)和13.00%(547/4207)。渝东南地区学生肺结核疫情最高,2008—2019年平均年报告发病率为88.31/10万(5281/5 980 400),其次为渝东北地区(49.08/10万,8737/17 802 100),主城地区(32.24/10万,5572/17 283 600)和渝西地区(27.33/10万,6328/23 155 500)疫情最低。学生肺结核平均报告发病率排名前5位的区(县)分别是彭水县(153.40/10万,1707/1 112 800)、巫溪县(102.47/10万,889/867 600)、黔江区(102.25/10万,1010/987 800)、酉阳县(88.69/10万,1074/1 210 900)和巫山县(82.45/10万,837/1 015 200)。学生肺结核患者男∶女为1.29∶1,高中年龄段(16~18岁)患者占比最高(46.92%,12 161/25 918)。结论 2008—2019年重庆市学生肺结核疫情呈下降趋势,16~18岁患者占比最高,发病高峰时间从2018年开始由3月转变为9月和12月,渝东南地区疫情较高。应重点关注高疫情地区,继续加强学生的健康体检工作。Objective To analyze the characteristics of reported pulmonary tuberculosis(PTB)in students in Chongqing during 2008-2019. Methods The epidemiological data of reported PTB in students and population data of Chongqing during 2008-2019 were collected from Infectious Diseases Reporting System(IDRS)and Chongqing Statistical Yearbook respectively,and the spatial,temporal and population distributions of reported PTB in students were analyzed. Results A total of 25 918 PTB cases in students in Chongqing were reported from 2008 to 2019,with an average annual reported incidence of 40.36/100 000(25 918/64 222 000).The reported PTB incidence decreased from 58.72/100 000(3067/5 223 100)in 2008 to 34.30/100 000(1959/5 710 600)in 2019,which showed a reduction trend by year(χtrend2=414.882,P<0.001).March was the peak period for students to report PTB,accounting for 15.70%(4069/25 918)of total cases.However,there was a slightly difference before and after 2017.The reporting peak period was March from 2008 to 2017,with an average percentage of 17.42%(3781/21 711)in all reported PTB.While the reporting peak periods were in September and December from 2018 to2019,with an average percentage of 12.50%(526/4207)and 13.00%(547/4207)in all reported PTB,respectively.Southeast district had the highest reported PTB incidence in students,with an average annual reported incidence being 88.31/100 000(5281/5 980 400),followed by Northeast district(49.08/100 000,8737/17 802 100).Central district(32.24/100 000,5572/17 283 600)and West district(27.33/100 000,6328/23 155 500)had the lowest incidence.The top five counties with highest reported incidence of PTB in students were Pengshui county(153.40/100 000,1707/1 112 800),Wuxi county(102.47/100 000,889/867 600),Qianjiang district(102.25/100 000,1010/987 800),Youyang county(88.69/100 000,1074/1 210 900)and Wushan county(82.45/100 000,837/1 015 200).The ratio of male to female students with PTB was 1.29∶1.PTB patients in senior high school age group(16-18 years old)accounted for the highest propo

关 键 词：结核 肺 学生 病例发现 发病率 结果评价(卫生保健) 重庆市 

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