泉州市2018—2022年老年肺结核流行特征分析  

Analysis of epidemiological characteristics of pulmonary tuberculosis in elderly from 2018 to 2022 in Quanzhou city

作　　者：何品[1] 廖宝兰[1] HE Pin;LIAO Bao-lan(Quanzhou Municipal Center for Disease Control and Prevention,Quanzhou,Fujian 362000,China)

机构地区：[1]泉州市疾病预防控制中心,福建泉州362000

出　　处：《疾病预防控制通报》2025年第1期43-46,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的分析福建省泉州市老年肺结核流行特征,为完善防控措施提供参考。方法收集2018—2022年结核病信息管理系统登记的活动性肺结核患者资料,采用描述流行病学方法进行回顾性分析。结果2018—2022年泉州市共登记老年肺结核患者3286例,年均登记发病率81.9/10万,高于65岁以下患者(χ^(2)=1775.193,P<0.01);其中病原学阳性患者2075例,年均病原学阳性率64.7%,高于65岁以下患者(χ^(2)=147.630,P<0.01)。各年龄组登记发病率随年龄增长而降低(趋势χ^(2)=115.478,P<0.01),65岁~组最高,为92.9/10万。发病无明显季节性。成功治疗2688例,成功治疗率85.6%,低于65岁以下患者(χ^(2)=290.426,P<0.01)。结论近5年泉州市老年肺结核发病率较高、成功治疗率较低;随着人口老龄化的加剧,应高度重视老年肺结核问题,加强筛查、提高诊疗水平、普及防治知识,并确保老年患者得到及时治疗。Objective To analyze the epidemiological characteristics of pulmonary tuberculosis(TB)in elderly in Quanzhou city of Fujian province,and provide reference for perfecting the prevention and control measures.Methods The data of registered active TB patients from 2018 to 2022 was collected from the tuberculosis information management system for retrospectively analyzing with descriptive epidemiological methods.Results There were 3286 elderly patients suffered from TB registered in Quanzhou city from 2018 to 2022.The average annual registered incidence rate of the elderly patients was 81.9/100000,higher than that of the patients younger than 65 years old(χ~2=1775.193,P<0.01).Of all elderly patients,2075 patients were etiologically positive,and the average annual etiologically positive rate was 64.7%,higher than that of patients under 65 years old(χ~2=147.630,P<0.01).The registered incidence rates of different age groups decreased with age(trendχ~2=115.478,P<0.01).The registered incidence rate in the age group elder than 65 years old was the highest(92.9/100000).There was no obvious seasonal incidence.A total of 2688 patients were successfully treated,and the successful treatment rate was 85.6%,lower than the patients younger than 65 years old(χ~2=290.426,P<0.01).Conclusions The incidence rate of TB is high in elderly people in Quanzhou city in resent 5 years,and the successful treatment rate is low.With the aggravation of population aging,the TB infection in elderly people should be paid high attention.The screening should be strengthened,the level of diagnosis and treatment should be improved.The knowledge of prevention and treatment should be popularized,and the elderly patients should be ensured to receive timely treatment.

关 键 词：肺结核 老年人群 登记发病率 成功治疗率 

分 类 号：R521[医药卫生—内科学]