摘要
目的:了解赣州市章贡区2016—2019年肺结核病的发病水平,掌握其流行特征,为今后结核病防控工作提供一定建议。方法:收集赣州市章贡区2016—2019年肺结核病患者的病案信息,采用描述性研究方法对肺结核病疫情流行特征进行分析。结果:2016—2019年章贡区累计报告肺结核患者1418例,年均发病率为69.18/10万,不同年份肺结核发病率差异有统计学意义(χ^(2)=11.687,P<0.001),2016年肺结核发病率最高,为75.96/10万,2019年肺结核发病率最低,为60.82/10万,报告病例多集中在3~5月份和9月份,2月和10月报告病例相对较少。男性发病率高于女性发病率,差异有统计学意义(χ^(2)=222.135,P<0.001),不同年龄分段肺结核发病率差异有统计学意义(χ^(2)=419.985,P<0.001),报告肺结核患者最小年龄为9月龄,最大年龄为94岁。报告肺结核病例职业主要以农民为主,各街道(镇)发病率差异均有统计学意义(χ^(2)=33.893,P<0.001),其中水西镇报告病例最多,水东镇报告病例最少。结论:章贡区报告肺结核病例以男性、青壮年及老年人为主,3~5月份发病率较高,乡村发病率高于城乡接合部和城区,应加强重点人群、重点地区防控,在冬春季节来临前加强防病知识宣教、筛查等工作,有效降低肺结核的发病率。
Objective:To understand the incidence level of pulmonary tuberculosis in Zhanggong district from 2016 to 2019,and to grasp its epidemic characteristics,so as to provide a certain basis for prevention and control of tuberculosis in the future.Methods:The medical record information of tuberculosis patients in Zhanggong district from 2016 to 2019 was collected,and the epidemic characteristics of tuberculosis were analyzed descriptively.Results:A total of 1418 cas⁃es of pulmonary tuberculosis were reported from 2016 to 2019,with an average annual incidence rate of 69.18/100000,the incidence of tuberculosis in different years was statistically significant(χ^(2)=11.687,P<0.001).The highest inci⁃dence of tuberculosis was in 2016 with 75.96/100000,the lowest incidence was in 2019 with 60.82/100000.Most of the reported cases were concentrated in March to May and September,while relatively few were reported in February and October.Male morbidity was higher than female morbidity,the difference was statistically significant(χ^(2)=222.135,P<0.001);The incidence of tuberculosis in different age groups was statistically significant(χ^(2)=419.985,P<0.001),The minimum age of tuberculosis patients was 9 months and the maximum age was 94 years.The main occupation of reported tuberculosis cases was farmers,and the incidence of each street(town)was statistically significant(χ^(2)=33.893,P<0.001),among which Shuixi town reported the most cases and Shuidong town reported the least cases.Conclusion:The cases of tuberculosis reported in Zhanggong District were mainly male,young and middle-aged,and the incidence was higher in March to May,incidence of the disease in rural areas was higher than that of the"integration of urban and rural areas"or urban area.Targeted control and prevention measures should be strengthened for key groups and areas.In the coming of winter and spring,more efforts should be made to the education,screening and other work of the control and prevention to reduce the incidence of tuberculosis effectively.
作者
池立红
郭于飞
王帅
刘水风
罗江洪
CHI Li-hong;GUO Yu-fei;WANG Shuai;LIU Shui-feng;LUO Jiang-hong(Gannan Medical University;Zhanggong District Centers for Disease Control and Prevention;School of Public Health and Health Management,Gannan Medical University,Ganzhou,Jiangxi 341000)
出处
《赣南医学院学报》
2021年第10期1015-1018,1042,共5页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
肺结核
流行特征
章贡区
Pulmonary tuberculosis
Epidemiological characteristics
Zhanggong district
