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作 者:李明燕 张云娜[2] LI Mingyan;ZHANG Yunna(Ganzi Center for Disease Control and Prevention,Kangding 626000,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)
机构地区:[1]甘孜州疾病预防控制中心,四川康定626000 [2]四川省疾病预防控制中心,成都610041
出 处:《职业卫生与病伤》2021年第5期282-285,共4页Occupational Health and Damage
摘 要:目的分析2016—2020年甘孜州肺结核流行特征,为甘孜州肺结核疫情防控提供参考依据。方法采用描述性流行病学的方法分析2016—2020年甘孜州肺结核病例的时间、地区、人群特征;采用卡方趋势性检验分析年报告发病率的变化趋势,采用卡方检验进行率的比较,检验水准α=0.05,P<0.05为差异有统计学意义。结果2016—2020年甘孜州肺结核平均报告发病率为221.83/10万,死亡率0.10/10万,2016—2020年甘孜州肺结核报告发病率呈上升趋势;男性报告发病率高于女性,男女性别比为1.13∶1;15~19岁组年龄段的人群肺结核报告发病率最高(405.54/10万);发病职业分布以农民为主(49.52%),其次为学生(17.78%),再次为牧民(10.40%);石渠县、理塘县和白玉县肺结核报告发病率较高。结论甘孜州肺结核防控形势严峻,石渠县、理塘县和白玉县是疫情高发地区,重点要加强对农牧民、学生等人群的防控,进一步控制甘孜州肺结核疫情。Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in Ganzi Prefecture from 2016 to 2020,and to provide reference for tuberculosis prevention and control measures in Ganzi Prefecture.Methods The descriptive epidemiology was used to analyze the time,area and population characteristics of tuberculosis cases in Ganzi from 2016 to 2020.Chisquare trend test was used to analyze the trend of annual reported incidence rate.Chi-square test was used to compare the rates.And α=0.05,P<0.05 was considered to be statistically significant.Results From 2016 to 2020,the average reported incidence rate of pulmonary tuberculosis in Ganzi Prefecture was 221.83/10^(5),and the mortality rate was 0.10/10^(5).In these 5 years,the reported incidence rate of pulmonary tuberculosis in Ganzi Prefecture was on a rise.The incidence rate of males was higher than that of females,with a sex ratio of 1.13∶1.The reported incidence rate of pulmonary tuberculosis was the highest in the 15-19 years old group(405.54/10^(5)).The majority of the patients were farmers(49.52%),followed by students(17.78%)and herdsmen(10.40%).Shiqu,Litang and Baiyu Counties had high reported incidences of pulmonary tuberculosis.Conclusion The situation of tuberculosis prevention and control in Ganzi Prefecture is serious.Shiqu County,Litang County and Baiyu County are highly epidemic areas.It is necessary to strengthen the prevention and control measures among farmers,herdsmen,students and other groups,so as to further control the epidemic situation of pulmonary tuberculosis in Ganzi Prefecture.
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