2009—2018年承德市双滦区肺结核流行病学分析  

Epidemiological analysis of tuberculosis in Shuangluan District of Chengde City from 2009 to 2018

作　　者：刘伶伶 张桂秀 苏丹 兰兰 孟庆坤 李广坤 LIU Ling-ling;ZHANG Gui-xiu;SU Dan;LAN Lan;MENG Qing-kun;LI Guang-kun(Chengde Third Hospital,Hebei 067000,China)

机构地区：[1]承德市第三医院,河北067000 [2]承德市双滦区疾病预防控制中心 [3]承德县医院 [4]承德市双桥区疾病预防控制中心

出　　处：《医学动物防制》2021年第10期1012-1015,1019,共5页Journal of Medical Pest Control

基　　金：承德市科学技术研究与发展计划项目(202006A001)。

摘　　要：目的对承德市双滦区肺结核流行病学特征进行系统分析,为结核病的防治工作提供科学依据。方法从"中国疾病预防控制信息系统"和"结核病管理信息系统"中导出承德市双滦区2009—2018年298例肺结核病例流行病学资料,描述性分析病例发病地区、发病时间,以及病例性别、年龄、职业等因素对发病的影响。结果 2009—2018年承德市双滦区肺结核总体发病呈下降趋势,但各年发病比率不够稳定;发病人群分布具有明显特征。从职业上看,农民居多,占32.18%,学生、退休人员次之,分别占13.76%和13.09%;在地区分布上,人口密集地、流动性大的城区所在镇多,占36.91%,偏远及人口流动小的乡镇相对较少,仅占5.40%;病例性别差异特征明显,男女比例为2.27∶1,2009—2018年10年间各年发病数男性均多于女性,差异有统计学意义(χ^(2)=38.748,P<0.5)。结论承德市双滦区肺结核疫情形势仍然严峻,应按照不同区域肺结核疫情情况,不断完善结核防治策略,严防肺结核蔓延。Objective To systematically analyze the epidemiological characteristics of tuberculosis in Shuangluan District of Chengde City, and to provide a scientific basis for the prevention and treatment of tuberculosis.Methods The detailed epidemiological data of 298 patients with tuberculosis in Shuangluan District of Chengde City from 2009 to 2018 were derived from the "Chinese information system of disease prevention and control" and "information system of tuberculosis management".And descriptive analysis was carried out to investigate the influences of the attacked areas, onset time, gender, age, occupation and other factors on the incidence of the disease.Results The total incidence in Shuangluan District of Chengde City decreased in recent 10 years, but the incidence rate of each year was not stable enough.And the distribution of the morbidity crowd had obvious characteristics.From the occupational perspective, farmers are the majority of the disease, accounting for 32.18%.They were followed by students and retirees, accounting for 13.76% and 13.09%,respectively.The disease was mainly concentrated on the towns with dense population and large mobility, which accounted for 36.91%.While the incidence of disease in remote areas with small mobility was low, which only accounted for 5.40%.The differences of genders were obvious, and the ratio of male to female patients was 2.27∶1.From 2009 to 2018,the morbidity number of each year in males was higher than that in females, and the difference was statistically significant(χ^(2)=38.748,P<0.5).Conclusion The epidemic situation of tuberculosis is still serious in Shuangluan District.To strictly prevent the spread of tuberculosis, we should constantly improve the strategy for tuberculosis prevention and control according to the actual epidemic situation of different regions.

关 键 词：肺结核 流行病学 现代结核病控制策略 防治 分析 

分 类 号：R521[医药卫生—内科学]