2013—2022年甘肃省陇南市肺结核疫情监测分析  

Monitoring and analysis of pulmonary tuberculosis epidemic in Longnan City,Gansu Province from 2013 to 2022

作　　者：郑小红 蔡玉成 王小军 李辉 童波波 田亚丽 ZHENG Xiaohong;CAI Yucheng;WANG Xiaojun;LI Hui;TONG Bobo;TIAN Yali(Department of Tuberculosis Prevention and Control,Longnan Center for Diseases Control and Prevention,Longnan,Gansu 746000,China)

机构地区：[1]陇南市疾病预防控制中心结核病预防控制科,甘肃陇南746000

出　　处：《医学动物防制》2024年第12期1186-1190,共5页Journal of Medical Pest Control

基　　金：国家重大科技专项(2017ZX10103006);陇南市2023年度强科技奖补资金项目(2023-S·QKJ-43)。

摘　　要：目的 分析2013—2022年陇南市登记肺结核患者流行病学特征,为今后优化陇南市肺结核防控策略提供科学依据。方法 用Excel 2019和SPSS 25.0软件对中国疾病预防控制系统结核病管理信息系统中的陇南市2013—2022年结核病登记资料数据进行统计,采用描述性流行病学方法分析肺结核患者的流行特征。结果 2013—2022年陇南市共登记管理肺结核患者12 228例,年均登记发病率为47.58/10万。2013—2022年登记发病率呈逐年下降趋势(χ^(2)__(趋势)_=5 845.42,P<0.001);各县(区)年均登记发病率为39.53/10万~53.91/10万,差异无统计学意义(χ^(2)=1.272,P=0.259);男女性别比是2.31∶1,男性登记发病率高于女性,差异无统计学意义(χ^(2)=1 565.138,P<0.001);患者以15岁及以上为主,占99.44%,各年龄组的平均发病率总体呈随年龄增加而上升的趋势,差异有统计学意义(χ^(2)__(趋势)_=2 320.362,P<0.001);患者职业以农民为主,占91.65%(11 207/12 228),其次为学生,占3.80%(465/12 228)。结论 2013—2022年陇南市肺结核登记发病率快速下降,结核病疫情得到有效控制。应加强农村地区、重点人群结核病的主动筛查工作,对发现的患者加强管理,应治尽治,阻断肺结核的社区传播,以防结核病疫情的反弹。Objective To analyze the epidemiologic characteristics of registered pulmonary tuberculosis patients in Longnan City from 2013 to 2022,and to provide a scientific basis for optimizing pulmonary tuberculosis prevention and control strategies in Longnan City in the future.Methods Pulmonary tuberculosis registration data of Longnan City from 2013 to 2022 in the China Disease Prevention and Control System Tuberculosis Management Information System were statistically analysed using Excel 2019 and SPSS 25.0 softwar.Descriptive epidemiological method was used to analyze the epidemiological characteristic of pulmonary tuberculosis patients.Results From 2013 to 2022,a total of 12228 pulmonary tuberculosis patients were registered and managed in Longnan City,with an average annual registered incidence rate of 47.58/100000.The registered incidence rate showed a decreasing trend year by year from 2013 to 2022(χ^(2)t rend=5845.42,P<0.001).The average annual registered incidence rate in counties and districts was 39.53/100000-53.91/100000,the difference was not statistically significant(χ^(2)=1.272,P=0.259).The male to female sex ratio was 2.31∶1,with males registered incidence rate higher than females,and the difference was not statistically significant(χ^(2)=1565.138,P<0.001).Most patients were those aged 15 years and above,accounting for 99.44%,and the average incidence rate in various age groups showed an overall trend of increasing with age,with a statistically significant difference(χ^(2)t rend=2320.362,P<0.001).The occupation of patients were mainly for farmers,accounting for 91.65%(11207/12228),followed by students with 3.80%(465/12228).Conclusion From 2013 to 2022,the registered incidence rate of pulmonary tuberculosis in Longnan City decreases rapidly,and the tuberculosis epidemic is effectively controlled.However,it is necessary to strengthen the active screening of tuberculosis in rural areas and key populations,strengthen the management of found patients and treating them to the fullest extent possible,so as

关 键 词：陇南市 肺结核 流行病学特征 登记管理 控制 

分 类 号：R521[医药卫生—内科学]