2017—2022年江苏省太仓市肺结核流行病学特征分析  

Epidemiological characteristics of pulmonary tuberculosis in Taicang City from 2017 to 2022

作　　者：张太发 周华 Zhang Taifa;Zhou Hua(Department of Tuberculosis Control,Center for Disease Control and Prevention of Taicang,Jiangsu Province,Taicang 215400,China)

机构地区：[1]江苏省太仓市疾病预防控制中心结防科,太仓215400

出　　处：《结核与肺部疾病杂志》2024年第1期64-69,共6页Journal of Tuberculosis and Lung Disease

摘　　要：目的:分析江苏省太仓市2017—2022年肺结核流行病学特征,为肺结核防控工作的开展提供方向和依据。方法:通过“中国疾病预防控制信息系统”的子系统“结核病管理信息系统”导出太仓市2017—2022年登记的肺结核患者(1444例)病案信息,描述患者发病特征,分析其三间分布情况。结果:2017—2022年太仓市活动性肺结核患者共登记1444例,其中病原学阳性患者676例,占46.81%,平均登记率为30.92/10万(1444/4669900);由2017年的34.79/10万(249/715800)下降至2022年的22.88/10万(193/843600),呈现下降的趋势(χ^(2)趋势=35.942,P=0.001);2020—2022年肺结核患者平均登记率为26.10/10万(656/2513700),低于2017—2019年的36.55/10万(788/2156200),差异有统计学意义(χ^(2)=13.662,P=0.001)。患者例数排名前3位的乡镇依次为城厢镇(332例,22.99%)、高新区(303例,20.98%)和浮桥镇(225例,15.58%),最低的为璜泾镇(125例,8.66%)。男性患者的数量(1023例,70.84%)高于女性(421例,29.16%),发病年龄高峰集中在25~34岁(350例,24.24%),发病例数最高的职业为农民(534例,36.98%)。结论:2017—2022年太仓市肺结核登记率呈现下降的趋势,需要关注重点乡镇及重点人群,加强宣传教育,提高诊断水平,完善管理治疗体系。Objective:To analyze the epidemiological characteristics of pulmonary tuberculosis(PTB)in Taicang City from 2017 to 2022,and to provide direction and basis for PTB prevention and control.Methods:Medical records of 1444 PTB patients registered in the“Tuberculosis Management Information System”,a subsystem of the“China Disease Prevention and Control Information System”in Taicang City from 2017 to 2022 were extracted,and then the morbidity characteristics of those patients were described,and the distribution characteristics about time,area,people were analyzed.Results:A total of 1444 patients with active PTB were registered in Taicang City from 2017 to 2022,among which 676 were etiologically positive,accounting for 46.81%,with an average registration rate of 30.92/100000(1444/4669900),changed from 34.79/100000(249/715800)in 2017 to 22.88/100000(193/843600)in 2022,showing a downward trend(χ^(2)_(trend)=35.942,P=0.001).The average registration rate in 2020—2022 was 26.10/100000(656/2513700),lower than that in 2017—2019(36.55/100000,788/2156200),and the difference was statistically significant(χ^(2)=13.662,P=0.001).The top three towns in terms of the number of patients were Chengxiang Town(332 cases,22.99%),High-tech Zone(303 cases,20.98%)and Fuqiao Town(225 cases,15.58%),and the lowest was Huangjing Town(125 cases,8.66%).The number of male patients(1023 cases,70.84%)was higher than that of female patients(421 cases,29.16%).The peak age of disease onset was concentrated between 25—34 years old(350 cases,24.24%).The occupation with the highest number of cases was farmers(534 cases,36.98%).Conclusion:The tuberculosis registration rate in Taicang City showed a downward trend from 2017 to 2022.In the future work,attention should be paid to key towns and key groups to strengthen publicity and education,improve the diagnosis level,and improve the management and treatment system.

关 键 词：结核 肺 流行病学研究特征(主题) 太仓市 

分 类 号：R521[医药卫生—内科学]