2013—2017年淮安市菌阴肺结核流行特征分析
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摘要
目的在新型结核病防治体系建设中,了解淮安市菌阴肺结核流行特征,为制定结核病防治策略和措施提供依据。方法采用描述流行病学的研究方法,对2013—2017年淮安市报告的肺结核资料进行统计分析。结果2013—2017年淮安市菌阴肺结核发病率呈下降趋势(χ2=16.08,P<0.01),患者男女性别比为2.52:1,55～74岁病例占总病例数的41.15%。职业以农民、家政人员和学生为主,分别占发病总数的83.69%、40.62%和2.69%,其差异有统计学意义(χ2=39.93,P<0.01)。结论新型结核病防治服务模式推行后,应切实落实保障政策。55～74岁年龄组和农民是肺结核发病的高危人群,应针对该人群进行筛查或结合多种诊断措施,加强结核病防治工作。
Objective To understand the epidemic characteristics of pathogenic negative pulmonary tuberculosis(TB) in the construction of a new TB prevention and control system in Huaian City, so as to provide the evidence for making the control strategies and measures. Methods The description epidemiological methods were used to analyze the data of TB case in Huaian City from 2013 to 2017. Results The incidence of pathogenic negative pulmonary TB patients reported presented a downtrend in Huaian City from 2013 to 2017(χ2=16.075, P<0.01),The male-female ratio of patients was 2.69:1.The majority of TB patients wasespecially in the age group of 55-64 years(41.5%). The occupational distribution of the TB incidence was given priority to peasants, housekeeping persons, and students, accounting for 83.69%,4.62% and 2.69% respectively(χ2=39.93, P<0.01). Conclusion Once the new TB prevention and control service mode is carried out, the leaders of all levels should pay more attention to the implement security policy strictly, especially to the aged group of 55-74 years and peasants that are high-risk population. It is of great importance to take comprehensive strategies for TB prevention and control.
Objective To understand the epidemic characteristics of pathogenic negative pulmonary tuberculosis(TB) in the construction of a new TB prevention and control system in Huaian City, so as to provide the evidence for making the control strategies and measures. Methods The description epidemiological methods were used to analyze the data of TB case in Huaian City from 2013 to 2017. Results The incidence of pathogenic negative pulmonary TB patients reported presented a downtrend in Huaian City from 2013 to 2017(χ2=16.075, P<0.01),The male-female ratio of patients was 2.69:1.The majority of TB patients wasespecially in the age group of 55-64 years(41.5%). The occupational distribution of the TB incidence was given priority to peasants, housekeeping persons, and students, accounting for 83.69%,4.62% and 2.69% respectively(χ2=39.93, P<0.01). Conclusion Once the new TB prevention and control service mode is carried out, the leaders of all levels should pay more attention to the implement security policy strictly, especially to the aged group of 55-74 years and peasants that are high-risk population. It is of great importance to take comprehensive strategies for TB prevention and control.
引文
[1]张添林,汤锦文,高艺,等.漳州市2011-2016年肺结核病流行特征[J].海峡预防医学杂志,2017,23(5):102-104.
[2]彭伟,张峰.芜湖市结核病防治服务体系转型前后病人发现和治疗效果分析[J].中国防痨杂志,2015,37(4):403-405.
[3]林定文,林玫,崔哲哲,等.广西河池市结核病定点医院转型初期服务效能调查报告[J].广西医学,2015,37(7):948-952.
[4]上官致洋,谢彬艳,朱小康,等. 2011-2016年抚州市肺结核流行病学特征分析[J].现代预防医学,2018,45(4):600-602,608.
[5]唐神结.结核病临床诊治进展(年度报告)[C]//中国防痨协会临床专业委员会学术会议暨专业学组成立大会.2013.
[6]王黎霞,成诗明,陈明亭,等. 2010年全国第5次结核病流行病抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
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[8]李栋梁,安伟峰,邢进,等. 2005-2013年河南省肺结核流行病学特征分析[J].现代预防医学,2015,42(21):3841-3843.
[9]高巧芬,王新华,杨枢敏,等.甘肃省肺结核病与职业关系的研究[J].卫生职业教育,2011,29(20):125-126.
[10]仲崇桥,徐素珍,张青元.连云港市2010年肺结核流行病学现状分析[J].医学动物防制,2012,28(4):365-367.
[11]牛志宏,温丽芳.山西省定襄县2004-2010年学生肺结核病发病特征分析[J].疾病监测与控制,2012,6(6):326-327.
[12]李晨,丁松宁,杨晨,等.南京市肺结核可疑症状者就诊延误及其影响因素研究[J].江苏预防医学,2013,24(2):15-18.
[13]汤卫军,杨万琴,何伏华,等.金湖县某中学一起肺结核聚集性疫情调查[J].江苏预防医学,2016,27(3):317-318.
[14] Cowie AJ,Elkins N,May MI-T. Effectiveness of ofloxaein against mytuberculosis and mycobacte?rium ovim,and rifapin against M.tuberculom in cultured htmum maeropheges[J].Am Rev Respir Dis,1988,137(15):1141-1146.
[15] Cowle RJ,Langton ME,Escreet BC.Diagnosis of sputum smear negative and sputum culture?negative pualmary TB[J].S mr med,1985,68(2):878.
[16]王志江,朱兴国,刘一亚.甘肃省平凉市崆峒区2011-2015菌阴肺结核流行趋势分析[J].中国初级卫生保健,2017,31(3):55-57.
[2]彭伟,张峰.芜湖市结核病防治服务体系转型前后病人发现和治疗效果分析[J].中国防痨杂志,2015,37(4):403-405.
[3]林定文,林玫,崔哲哲,等.广西河池市结核病定点医院转型初期服务效能调查报告[J].广西医学,2015,37(7):948-952.
[4]上官致洋,谢彬艳,朱小康,等. 2011-2016年抚州市肺结核流行病学特征分析[J].现代预防医学,2018,45(4):600-602,608.
[5]唐神结.结核病临床诊治进展(年度报告)[C]//中国防痨协会临床专业委员会学术会议暨专业学组成立大会.2013.
[6]王黎霞,成诗明,陈明亭,等. 2010年全国第5次结核病流行病抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
[7]陈慧娟,杨婕,袁嶶,等.贵州省结核病流行病学调查结果分析[J].现代预防医学,2013,40(7):1214-1215.
[8]李栋梁,安伟峰,邢进,等. 2005-2013年河南省肺结核流行病学特征分析[J].现代预防医学,2015,42(21):3841-3843.
[9]高巧芬,王新华,杨枢敏,等.甘肃省肺结核病与职业关系的研究[J].卫生职业教育,2011,29(20):125-126.
[10]仲崇桥,徐素珍,张青元.连云港市2010年肺结核流行病学现状分析[J].医学动物防制,2012,28(4):365-367.
[11]牛志宏,温丽芳.山西省定襄县2004-2010年学生肺结核病发病特征分析[J].疾病监测与控制,2012,6(6):326-327.
[12]李晨,丁松宁,杨晨,等.南京市肺结核可疑症状者就诊延误及其影响因素研究[J].江苏预防医学,2013,24(2):15-18.
[13]汤卫军,杨万琴,何伏华,等.金湖县某中学一起肺结核聚集性疫情调查[J].江苏预防医学,2016,27(3):317-318.
[14] Cowie AJ,Elkins N,May MI-T. Effectiveness of ofloxaein against mytuberculosis and mycobacte?rium ovim,and rifapin against M.tuberculom in cultured htmum maeropheges[J].Am Rev Respir Dis,1988,137(15):1141-1146.
[15] Cowle RJ,Langton ME,Escreet BC.Diagnosis of sputum smear negative and sputum culture?negative pualmary TB[J].S mr med,1985,68(2):878.
[16]王志江,朱兴国,刘一亚.甘肃省平凉市崆峒区2011-2015菌阴肺结核流行趋势分析[J].中国初级卫生保健,2017,31(3):55-57.