2013—2022年扬州市老年人群肺结核流行特征  

Epidemiological characteristics of pulmonary tuberculosis among the elderly in Yangzhou City from 2013 to 2022

作　　者：赵倩颖 王慧 李锦成 许婕 竺丽梅[2] ZHAO Qianying;WANG Hui;LI Jincheng;XU Jie;ZHU Limei(Yangzhou Center for Disease Control and Prevention,Yangzhou,Jiangsu 225000,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210000,China)

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225000 [2]江苏省疾病预防控制中心,江苏南京210000

出　　处：《预防医学》2025年第3期276-279,共4页China Preventive Medicine Journal

基　　金：江苏省卫生健康委科研项目(ZDA2020022)。

摘　　要：目的了解2013—2022年江苏省扬州市≥60岁人群肺结核流行特征,为完善老年人群肺结核防治措施提供依据。方法通过中国疾病预防控制信息系统收集2013—2022年扬州市≥60岁肺结核病例资料,采用描述性流行病学方法分析肺结核病例的时间、人群和地区分布特征。结果2013—2022年扬州市累计登记≥60岁肺结核病例8726例,其中病原学阳性肺结核病例4167例,病原学阳性率为47.75%。2013—2022年扬州市≥60岁人群肺结核登记发病率、病原学阳性肺结核登记发病率呈下降趋势(均P<0.05),肺结核年均登记发病率为83.95/10万,病原学阳性肺结核年均登记发病率为40.09/10万。男性肺结核年均登记发病率为138.57/10万,高于女性的31.76/10万(P<0.05)。肺结核年均登记发病率随年龄增长总体呈上升趋势(P<0.05),75~<80岁组最高,为110.37/10万。肺结核年均登记发病率前三位地区分别为江都区(94.34/10万)、宝应县(91.61/10万)和邗江区(84.93/10万)。结论2013—2022年扬州市≥60岁人群肺结核登记发病率呈下降趋势,需重点关注男性、75~<80岁、江都区和宝应县老年人群的肺结核登记发病情况。Objective To investigate the epidemiological characteristics of pulmonary tuberculosis(PTB)among residents aged 60 years and older in Yangzhou City,Jiangsu Province from 2013 to 2022,so as to provide the evidence for the improvement of PTB prevention and control measures in this population.Methods Data of PTB cases aged 60 years and older in Yangzhou City from 2013 to 2022 were collected from the Chinese Disease Prevention and Control Information System.The temporal,population,and regional distribution characteristics of PTB cases were analyzed using the descriptive epidemiological method.Results A total of 8726 PTB cases aged 60 years and older were registered in Yangzhou City from 2013 to 2022,including 4167 cases positive for pathogenic tests,with a positive rate of 47.75%.The registered incidence rates and the positive rates of pathogenic tests of PTB among residents aged 60 years and older in Yangzhou City showed downward trends from 2013 to 2022(both P<0.05).The average annual registered incidence rate of PTB was 83.95/105,and the average annual registered incidence rate of PTB positive for pathogenic tests was 40.09/105.The average annual registered incidence rate of PTB in males was higher than that in females(138.57/105 vs.31.76/105,P<0.05).The registered incidence rate of PTB showed an increasing trend with age(P<0.05),with the highest rate observed in the age group of 75-<80 years(110.37/105).The top three regions with the highest average annual registered incidence rates of PTB were Jiangdu District(94.34/105),Baoying County(91.61/105)and Hanjiang District(84.93/105).Conclusions The registered incidence of PTB among residents aged 60 years and older in Yangzhou City showed a downward trend from 2013 to 2022.Particular attention should be payed to males,residents aged 75-<80 years,and the elderly in Jiangdu District and Baoying County.

关 键 词：肺结核 老年人 流行特征 

分 类 号：R521[医药卫生—内科学]