摘要
目的分析2006-2015年北京市昌平区肺结核报告发病情况及其流行病学特征，为针对性的制定结核病防治策略提供依据。方法利用《传染病报告信息管理系统》的统计报表模块收集肺结核数据信息，运用描述性统计学方法对监测数据进行分析。结果2006-2015年昌平区报告肺结核病例7082例，发病率由2006年的76．87／10万上升到2008年的127．55／10万，又下降到2015年的40．69／10万，各年发病率差异有统计学意义（P〈0．0001），10年间共报告1672例涂阳患者（占23．61％），发病率由2006年19．36／10万上升到2008年的28．50／10万，又下降到2015年的10．53／10万，差异有统计学意义（P〈0．0001）。报告病例中男性（4633例）是女性（2449例）的1．89倍，各年度男性与女性患者发病率差异均有统计学意义（P〈0．0001）。报告病例主要集中在15～25岁年龄组（47．99％）和65岁以上（9．90％）人群，职业分布以农民、家务及待业、学生、干部职员、工人为主，占报告病例的71．19％。本地户籍患者报告病例（5441例）是非户籍患者（1641例）的3．32倍，各年度本地户籍与非本地户籍患者报告发病率差异均有统计学意义（P〈O．0001），非户籍患者报告发病率整体上呈先升后降的趋势，在2008年达到近十年的高峰，发病率为53．26／10万。结论2006-2015年北京市昌平区肺结核发病率呈下降趋势，但是结核病的流行仍然严重，应继续加强对重点人群的结核病防治工作。
Objective To analyze the incidence and epidemic charachteristics of tuberculosis （TB ） in Changping District, Beijing from 2006 to 2015, so as to provide evidence for developing TB control strategies and measures. Methods The surveillance data of TB cases in Changping District, Beijing from 2006 to 2015 collected from National Infectious Disease Information Management System were analyzed by descriptive statistics. Results A total of 7,082 TB cases were reported. The incidence varied significantly from 2006-2015（P〈0.0001）, rising from 76.87/100,000 in 2006 to 127.55/100,000 in 2008 and failing to 40.69/100,000 in 2015. 1,672 cases （23.61%} were smear positive, with a similar variation （P〈0.0001） from 19.36/100,000 in 2006 to 28.50/100,000 in 2008 and to 10.53/100,000 in 2015. The reported number of TB cases in males （4,633 ） was 1.89 times that in females（2,449） , and their incidence rates varied significantly among different years （P〈0.0001）. The reported cases were mainly confined to the age groups of 15-25 years old （47.99%）and 65- years old C 9.90% ）. Most cases were farmers, houseworkers, students, office clerks and workers, accounting for 71.19% totally. The reported cases in local residents（5,441 ） was 3.32 times that in non-local residents（ 1,641 ） , and their incidence rates were significantly different in each year （ P〈0. 0001 ）. The incidence rate of the non-local residents showed a trend of first rising and then falling, with the highest incidence of 53.26/ 100,000 in 2008. Conclusion Although the incidence of tuberculosis shows a downward trend in Changping District in recent years, the prevalence of tuberculosis is still serious. The prevention and control of tuberculosis in key population should be continually strengthened.
出处
《实用预防医学》
CAS
2016年第10期1176-1181,共6页
Practical Preventive Medicine
基金
首都医学发展基金(2009-3259)
关键词
肺结核
报告发病率
预防与控制
流行病学特征
Tuberculosis
Reported incidence
Prevention and control
Epidemiological characteristics
