上海市青浦地区2013～2017年涂阳结核病患者人群分布及标本类型特征
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摘要
目的了解上海青浦地区近五年来涂阳结核病患者人群分布特征,及标本类型特征,为进一步加强结核病预防和发现策略提供一定依据。方法采用描述性流行病学方法,对上海市青浦区2013～2017年于青浦区结核病唯一定点医院结核涂阳患者资料进行分析,并采集相关标本信息。结果五年来,涂阳患者总例数保持平稳,男性患者明显多于女性,年龄主要集中在15～85岁(97.38%),其中45～55岁患者居多(16.70%)。常住涂阳总例数多于流动涂阳总例数,常住人口结核涂阳以中老年为主,而流动人群结核涂阳群体以青壮年为主,差异有统计学意义(P <0.05)。肺泡灌洗液涂阳患者有增加趋势(P <0.05),尿液阳性更多的来自女性患者(P <0.05)。结论上海市青浦地区近五年来,结核涂阳呈现稳定趋势,但仍需加强男性和常住中老年人口,流动青壮年人口的相关防治;通过气管镜检查确诊的患病例数在增加。
Objective To understand the population distribution characteristics and specimen type characteristics of smear-positive tuberculosis patients in Qingpu District of Shanghai in recent five years so as to provide a basis for further strengthening the prevention and detection strategies of tuberculosis. Methods Descriptive epidemiological methods were used to analyze the data of smear-positive tuberculosis patients in the only designated hospital for tuberculosis in Qingpu District of Shanghai from 2013 to 2017, and relative specimen information were collected.Results In the past five years, the total number of smear-positive patients remained stable. There were significantly more male patients than female patients. The age was mainly between 15 and 85 years old(97.38%), and the majority of patients were 45 to 55 years old(16.70%). The total number of smear-positive patients from resident population is more than the number of them from floating population. The resident population of smear-positive tuberculosis was mainly the middle-aged and elderly while the floating population of smear-positive tuberculosis was mainly the young and middle-aged. The difference was statistically significant(P < 0.05). Patients with positive bronchoalveolar lavage fluid showed an increasing tendency(P < 0.05), and positive urine samples were mainly obtained from female patients(P < 0.05). Conclusion In Qingpu District of Shanghai, the total number of smear-positive patients shows a stable trend in the past five years, but it is still necessary to strengthen the prevention and control of the male population,elderly population from resident population and young population from floating population. The number of patients diagnosed by bronchoscopy is increasing.
Objective To understand the population distribution characteristics and specimen type characteristics of smear-positive tuberculosis patients in Qingpu District of Shanghai in recent five years so as to provide a basis for further strengthening the prevention and detection strategies of tuberculosis. Methods Descriptive epidemiological methods were used to analyze the data of smear-positive tuberculosis patients in the only designated hospital for tuberculosis in Qingpu District of Shanghai from 2013 to 2017, and relative specimen information were collected.Results In the past five years, the total number of smear-positive patients remained stable. There were significantly more male patients than female patients. The age was mainly between 15 and 85 years old(97.38%), and the majority of patients were 45 to 55 years old(16.70%). The total number of smear-positive patients from resident population is more than the number of them from floating population. The resident population of smear-positive tuberculosis was mainly the middle-aged and elderly while the floating population of smear-positive tuberculosis was mainly the young and middle-aged. The difference was statistically significant(P < 0.05). Patients with positive bronchoalveolar lavage fluid showed an increasing tendency(P < 0.05), and positive urine samples were mainly obtained from female patients(P < 0.05). Conclusion In Qingpu District of Shanghai, the total number of smear-positive patients shows a stable trend in the past five years, but it is still necessary to strengthen the prevention and control of the male population,elderly population from resident population and young population from floating population. The number of patients diagnosed by bronchoscopy is increasing.
引文
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[14]邓慈禧,钟倩红,吴智龙.广东省佛山市2010--2016年初治涂阳肺结核流行特征分析[J].中国防痨杂志,2018,40(1):114-118.
[15]普必福,李梅春.支气管肺泡灌洗液枪测分枝杆菌在诊断肺结核中的应用[J].中国防痨杂志,2009,3(11):679.
[16]陈东宁,冯俐.支气管镜多指标联合检测菌阴肺结核的诊断价值探讨[J].中国内镜杂志,2007,13(6):590-592,595.
[17]肖海浩,汤春梅,张言斌等.支气管镜及相关检测对菌阴肺结核的诊断价值[J].医学综述,2009,15(24):3817-3820.
[18]彭勋,常占平,汪晓琴,等.纤支镜灌洗液的结核分枝杆菌快速培养对不典型肺结核的诊断价值[J].中国防痨杂志,2003,25(3):143-145.
[19]Behr MA,Warren SA,Salamon H,et al.Transmission of Mycobaeteriurn tuberculosis from patients smearnegative for aei&fast bacilli[J].J Lancet,1999,353(9151):444-449.
[2]何丽华,周建军.上海市黄浦区1990-2013年肺结核疫情分析[J].上海预防医学,2015,27(9):544-546.
[3]全国第五次结核病流行病学抽样调查技术指导组,全国第五次结核病流行病学抽样调查办公室.2010年全国第五次结核病流行病学抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
[4]毛宁,梁爽,何琳,等.2009-2014年辽宁省结核病流行特征分析[J].中华疾病控制杂志,2017,21(3):287-290.
[5]史四九,方雪晖,程德友.安徽省涂阳肺结核病人密切接触者结核病筛查相关影响因素研究[J].中华疾病控制杂志,2013,17(1):48-50.
[6]申严,周琳,舒杨.2010-2013年深圳市龙岗区流动人口肺结核病疫情分析[J].热带医学杂志,2016,16(11):1435-1437.
[7]张娟娟,胡方祥,王云霞,等.深圳市宝安区2008-2015年结核病流行特征[J].中国热带医学,2018,18(2):128-130.
[8]郭婉如,由娜,林晖.广州市番禺区2011-2015年流动人口肺结核流行特征[J].中国热带医学,2017,17(3):283-288.
[9]张根友,王纪祥,邹铮,等.2005-2012年安徽省结核病流行特征分析[J].中华疾病控制杂志,2014,18(6):504-507.
[10]蔡凤珠,白云,李盛,等.上海市浦东新区2000-2009年结核病流行病学特征分析[J].中华疾病控制杂志,2012,16(11):968-969.
[11]孙海燕,王忠东,肖婷婷,等.2006-2015年青岛市肺结核流行特征分析[J].现代预防医学,2017,44(1):17-19.
[12]庞秀然,莫实德.广西防城港市2013-2015年肺结核流行特征分析[J].中国热带医学,2017,17(5):496-498.
[13]汪德华,付军,刘玲燕,等.2010-2015年南昌市肺结核病流行特征分析[J].实用预防医学,2018,25(1):7-10.
[14]邓慈禧,钟倩红,吴智龙.广东省佛山市2010--2016年初治涂阳肺结核流行特征分析[J].中国防痨杂志,2018,40(1):114-118.
[15]普必福,李梅春.支气管肺泡灌洗液枪测分枝杆菌在诊断肺结核中的应用[J].中国防痨杂志,2009,3(11):679.
[16]陈东宁,冯俐.支气管镜多指标联合检测菌阴肺结核的诊断价值探讨[J].中国内镜杂志,2007,13(6):590-592,595.
[17]肖海浩,汤春梅,张言斌等.支气管镜及相关检测对菌阴肺结核的诊断价值[J].医学综述,2009,15(24):3817-3820.
[18]彭勋,常占平,汪晓琴,等.纤支镜灌洗液的结核分枝杆菌快速培养对不典型肺结核的诊断价值[J].中国防痨杂志,2003,25(3):143-145.
[19]Behr MA,Warren SA,Salamon H,et al.Transmission of Mycobaeteriurn tuberculosis from patients smearnegative for aei&fast bacilli[J].J Lancet,1999,353(9151):444-449.