首页|2011-2020年莆田市城厢区肺结核流行特征及治疗转归情况分析

2011-2020年莆田市城厢区肺结核流行特征及治疗转归情况分析

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目的 分析2011-2020年福建省莆田市城厢区肺结核流行病学特征及治疗转归情况,为制定全区结核病防控策略提供依据.方法 通过中国疾病预防控制信息系统结核病管理信息系统收集2011-2020年城厢区肺结核病例资料,描述性分析肺结核病例的时间、空间和人间分布情况,并分析纳入治疗管理的肺结核患者治疗转归效果.结果 2011-2020年城厢区共报告肺结核患者2 055例、发病率48.62/10万,年发病率呈下降趋势(趋势x2=21.469,P<0.05),年递降率为2.78%.3-5月报告病例数较多、占总病例数的31.19%;发病率男性(70.78/10万)高于女性(26.95/10万),差异有统计学意义(x2=414.57,P<0.05),男(趋势x2=28.424)女性(趋势x2=10.993)发病率均呈下降趋势(P<0.05).75岁~组男性发病率最高(284.15/10万),80岁~组女性发病率最高(56.74/10万).农民发病人数最多,共1 370例、占总病例数的66.67%.7个乡(镇、街道)均有病例报告,年均报告发病率居前3位的依次为霞林街道(123.05/10万)、凤凰山街道(76.72/10万)和龙桥街道(47.78/10万).共纳入治疗患者1 960例,治疗转归效果2012年最好、2020年最差.结论 2011-2020年城厢区肺结核发病率呈下降趋势;但应对农村和男性人群加强防控措施,并应对纳入治疗的患者加强精准的随访管理.
Analysis of epidemiological characteristics and treatment outcome of pulmonary tuberculosis in Chengxiang district of Putian city from 2011 to 2020
Objective To analyze the epidemiological characteristics and treatment outcome of pulmonary tuberculosis in Chengxiang district of Putian city,Fujian province from 2011 to 2020,and provide the basis for formulating tuberculosis prevention and control strategies in the region.Methods The data of pulmonary tuberculosis cases in Chengxiang district from 2011 to 2020 were collected from the tuberculosis management information system of the Chinese disease prevention and control information system.The distribution of time,space and population of tuberculosis cases were descriptively analyzed,and the treatment outcome of the cases brought into treatment management were analyzed.Results There were all 2 055 cases with pulmonary tuberculosis reported in Chengxiang district from 2011 to 2020,with the incidence rate of 48.62/100 000.The incidence rates of each year showed decreasing trend(x2trend=21.469,P<0.05),and the annual decline rate was 2.78%.The number of reported cases was more from March to May,accounting for 31.19%of the total number of cases.The incidence rate of the male(70.78/100 000)was higher than that of the female(26.95/100 000),with statistical difference(x2=414.57,P<0.05).Both incidence rates of the male(x2,rend=28.424)and the female(x2trend=10.993)showed decreasing trend(P<0.05).The incidence rate of the male was the highest in the age group of 75 years and elder(284.15/100 000),and the incidence rate of the female was the highest in the age group of 80 years and above(56.74/100 000).1 307 cases were farmer and accounted for 66.67%of total number of the cases.There were cases reported in 7 townships(towns and streets),and the reported annual incidence rate of Xialin street(123.05/100 000),Fenghuangshan street(76.72/100 000)and Longqiao street(47.78/100 000)were the top 3.There were 1 960 cases were brought into the treatment,and the effects of treatment outcome was best in 2012 and worst in 2020.Conclusions The incidence rates of pulmonary tuberculosis shows decreasing trend in Chengxiang district from 2011 to 2020.But the prevention and control measures should be strengthened in rural area and the male population.The accurate follow-up management of the cases who were brought into treatment should be enhanced.

Pulmonary tuberculosisEpidemiological characteristicsIncidence rateOutcome

章世周、林晓茹、林修全

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福建省莆田市城厢区疾病预防控制中心防疫科,福建莆田 351100

福建医科大学公共卫生学院卫生政策与管理学系,福州 350122

福建省疾病预防控制中心慢性病防治研究室,福州 350012

肺结核 流行特征 发病率 转归

2024

疾病预防控制通报
新疆疾病预防控制中心

疾病预防控制通报

ISSN:1000-3711
年,卷(期):2024.39(2)
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