首页|2018-2022年旺苍县肺结核病流行特征分析

2018-2022年旺苍县肺结核病流行特征分析

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目的 了解旺苍县肺结核病流行现状,为制定结核病防控措施提供科学依据.方法 采用描述性流行病学方法,对2018-2022年旺苍县报告的肺结核病例资料进行分析,率的比较采用x2检验,变化趋势采用趋势x2检验,检验水准α=0.05.结果 2018-2022年旺苍县肺结核发病率整体呈下降趋势,年均递降率为11.83%,下降趋势有统计学意义(x2趋势=43.89,P<0.001);病原学阳性发病率由2018年的28.64/10万上升至2022年的47.11/10万,上升趋势有统计学意义(x2趋势=21.31,P<0.001);时间分布整体呈下降趋势,1和3月上升明显,呈现季节波动性;五权镇、白水镇、水磨镇、普济镇和双汇镇发病数呈先升高后下降趋势;男、女发病性别比为2.35:1,男性发病率高于女性(x2=248.69,P<0.001);男性发病率最高的是50~59岁(83.99/10万),女性发病率最高的是20~29岁(85.49/10万),全人群70~79岁发病率最高;农民是发病主要人群(70.47%).结论 旺苍县肺结核病流行整体处于逐年下降趋势,但病原学阳性逐年增高.应重点关注老年群体发病水平,防治经费向边远乡镇倾斜,提高基层实验室建设.
Analysis of epidemiological characteristics of pulmonary tuberculosis in Wangcang County from 2018 to 2022
Objective To understand the epidemic status of pulmonary tuberculosis(PTB)in Wangcang County,and to provide scientific basis for formulating tuberculosis prevention and control measures.Methods Descriptive epidemiological method was used to analyze the data of PTB cases reported in Wangcang County from 2018 to 2022.Rates were compared by x2 test,and the change trend was tested by trend-x2 test.The test level was α=0.05.Results From 2018 to 2022,the incidence of PTB in Wangcang County showed a downward trend,with an average annual decline rate of 11.83%,and the decrease trend was statistically significant(x2trend=43.89,P<0.001).The incidence of positive etiology increased from 28.64/105 in 2018 to 47.11/105 in 2022,and the increasing trend was statistically significant(x2trend=21.31,P<0.001).The time distribution showed an overall downward trend,and increased obviously in January and March,showing seasonal fluctuation.The number of cases in Wuquan Town,Baishui Town,Shuimo Town,Puji Town and Shuanghui Town increased first and then decreased.The sex ratio between men and women was 2.35:1.The incidence was higher in men than that in women(x2=248.69,P<0.001).The highest incidence was found in men aged 50-59 years old(83.99/105).The highest incidence was found in women from 20-29 years old(85.49/105).While the highest incidence of the whole population was found in people aged 70-79 years old.Farmers were the main group(70.47%).Conclusions The prevalence of PTB in Wangcang County was decreasing year by year,but the positive etiology was increasing year by year.We should focus on the incidence level of the elderly group,tilt the prevention and treatment funds to the remote towns,and improve the construction of grass-roots laboratories.

pulmonary tuberculosis(PTB)prevalenceincidence rate

杨建强、刘伦光

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旺苍县疾病预防控制中心,四川 旺苍 628200

四川省疾病预防控制中心,成都 610041

肺结核 流行 发病率

四川省现场流行病学培训项目(第六期)

2024

寄生虫病与感染性疾病
中华预防医学会 四川省疾病预防控制中心

寄生虫病与感染性疾病

影响因子:0.335
ISSN:1672-2116
年,卷(期):2024.22(1)
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