2008-2020年拉萨某医院肺结核病例临床流行病学特征分析  

Epidemiological characteristics of tuberculosis in a hospital in Lhasa during 2008 and 2020

作　　者：刘阳 陈郁[2] 汤恩杰[3] 雷衡东 高鑫 罗勇军[2] 吴前进[5] LIU Yang;CHEN Yu;TANG Enjie;LEI Hengdong;GAO Xin;LUO Yongjun;WU Qianjin(School of Geography and Tourism,Chongqing Normal University,Chongqing,401331;Department of Military Medical Geography,Army Medical Service Training Base,Army Medical University(Third Military Medical University),Chongqing,400038;Department of Military Epidemiology,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038;Information Section,General Hospital of Tibet Military Region,Lhasa,Tibet Autonomous Region,850007,China;Department of Health Service,General Hospital of Tibet Military Region,Lhasa,Tibet Autonomous Region,850007,China)

机构地区：[1]重庆师范大学地理与旅游学院,重庆401331 [2]陆军军医大学(第三军医大学)陆军卫勤训练基地军事医学地理学教研室,重庆400038 [3]陆军军医大学(第三军医大学)军事预防医学系军队流行病学教研室,重庆400038 [4]西藏军区总医院信息科,拉萨850007 [5]西藏军区总医院卫勤部,拉萨850007

出　　处：《陆军军医大学学报》2022年第3期275-280,共6页Journal of Army Medical University

基　　金：国家科技部第二次青藏高原综合科学考察研究专题(2019QZKK0607);2021年度军队卫勤保障能力创新与生成专项计划(21QQ001)。

摘　　要：目的基于拉萨某医院2008-2020年肺结核病例数据,分析2016年前后该医院肺结核病例流行病学特征。方法收集拉萨某医院2008-2020年7523例确诊为肺结核患者的临床资料,比较2016年前后肺结核患者年龄、性别、疾病特征、分布以及构成变化。结果该院2008-2015年肺结核病例数不断增加,2016-2020年肺结核病例数逐渐减少。城市地区病例数多于农村,但差距在不断缩小。男性、藏族病例数多于女性、汉族病例数。确诊病例的年龄构成以中青年(20~50岁)为主,除了10~20岁的病例数在不断增加外,其他年龄段病例数以2016年为分水岭向两边逐渐减少。2008-2020年肺结核患者诊断类型中,确诊为原发型肺结核居首位,占78.75%,其他肺结核确诊类型病例数较少;该院肺结核病例主要来源于拉萨、那曲地区及其他区县政府驻地或发展较好的城市。结论2016年之后,拉萨某医院肺结核病例数呈现出明显的下降趋势。Objective To analyze epidemiological characteristics of tuberculosis in a hospital in Lhasa with the year of 2016 as a node based on the clinical data of the disease during 2008 and 2020.Methods The clinical data of 7523 patients diagnosed with pulmonary tuberculosis in a hospital in Lhasa from 2008 to 2020 were collected.The changes of age,gender,disease characteristics,distribution and composition of the patients before and after 2016 were analyzed.Results The number of pulmonary tuberculosis was increased continuously from 2008 to 2015,but the number was gradually decreased from 2016 to 2020.The number of the cases was larger in urban areas than rural areas,but the difference was narrowing.The males and Tibetan people were more common when compared with the females and Han people.The age composition of confirmed cases was mainly middle-aged and young people(20~50 years old).Except that the number of cases aged 10~20 was increasing,the number of cases at other age stages gradually decreased to both sides with 2016 as the watershed.Among the diagnostic types of pulmonary tuberculosis patients from 2008 to 2020,the diagnosed primary pulmonary tuberculosis ranked first,accounting for 78.75%.There were few cases of other types of pulmonary tuberculosis.The cases of tuberculosis in the hospital mainly come from Lhasa,Nagqu Prefecture and other district governments or city with better natural environment.Conclusion After 2016,the number of pulmonary tuberculosis shows a significant downward trend in the hospital.

关 键 词：肺结核 流行病学特征 拉萨 

分 类 号：R183[医药卫生—流行病学] R521[医药卫生—公共卫生与预防医学]