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2010-2022年陕西省商洛市肺结核流行特征分析

Analysis of the epidemiological characteristics of pulmonary tuberculosis in Shangluo City,Shaanxi Province from 2010 to 2022

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目的 对商洛市2010-2022年肺结核流行特征进行分析,为商洛市肺结核的防控提供科学依据.方法 采用描述性研究对商洛市2010-2022年的肺结核病例的流行特征进行分析,采用占比对分类变量进行描述,率的比较采用x2检验进行组间比较.结果 2010-2022年商洛市共报告肺结核病例18 197例,年平均发病率为60.35/10万,发病率呈波动趋势,2019年发病率最高,2022年最低.肺结核发病的时间分布无明显季节性,发病高峰在3月(1 955例,10.74%),2月最低(1 160例,6.37%).全市7个县(区)均有发病,山阳县发病率最高.全市肺结核以男性发病为主,男、女性别比为2.53∶1,男性发病率高于女性(x2=2 835.74,P<0.05);肺结核病例主要集中在40~<50岁(3 768 例,20.71%)、20~<30 岁(3 703 例,20.35%)和 50~<60 岁年龄组(3 301 例,18.14%).病例的职业以农民为主(15 493例,85.14%),其次为学生(860例,4.73%).结论 商洛市肺结核的发病率在新型冠状病毒感染疫情防控阶段(2020-2022年)下降明显,肺结核防控应以农民和学生为重点人群.商洛市要进一步提高肺结核病例的规范化管理水平,加强宣传教育,落实肺结核病例的综合防控措施,助力商洛市"一都四区"的高质量发展.
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in Shangluo City from 2010 to 2022,and provide a scientific basis for the prevention and control of pulmonary tuberculosis in Shangluo.Methods A descriptive study was used to analyze the epidemiological characteristics of pulmonary tuberculosis cases in Shangluo City from 2010 to 2022.The proportions were used to describe categorical variables and the comparison of rates between two groups using the Chi-square test.Results From 2010 to 2022,a total of 18 197 pulmonary tuberculosis cases were reported in Shangluo with an annual average incidence rate of 60.35/100 000.The incidence rate showed a fluctuating trend,with the highest incidence rate in 2019 and the lowest in 2022.The temporal distribution of pulmonary tuberculosis incidence had no obvious seasonality,and the peak of incidence was in March(1 955 cases,10.74%)and the lowest in February(1 160 cases,6.37%).The disease was reported in seven counties(cities),with the highest incidence rate in Shanyang County.The incidence of pulmonary tuberculosis in the city was mainly male,and the set ratio of men to women was 2.53∶1,and the reported incidence of males was higher than that of females(x2=2 835.74,P<0.05).Pulmonary tuberculosis cases were concentrated in the age groups of 40-<50 years(3 768 cases,20.71%),20-<30 years(3 703 cases,20.35%),and 50-<60 years(3 301 cases,18.14%).The main occupation of the cases was farmers(15 493 cases,85.14%),followed by students(860 cases,4.73%).Conclusion The incidence rate of pulmonary tuberculosis in Shangluo decreased significantly during the prevention and control stage of the COVID-19 epidemic(2020-2022),and pulmonary tuberculosis prevention and control should be focused on farmers and students as key populations.Shangluo should further improve the standardized management level of pulmonary tuberculosis cases,strengthen publicity and education,carry out comprehensive prevention and control measures of pulmonary tuberculosis cases,and power Shangluo's"one capital four districts"high-quality development.

Pulmonary tuberculosisIncidence rateEpidemiologyPositive for etiologyEpidemiological characteristicAnalysis

陈彦炜、刘宁、张佩、李彬霞、王小燕、李艺

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商洛市疾病预防控制中心流行病科,陕西商洛 726000

商洛市中心医院

肺结核 发病率 流行病学 病原学阳性 流行特征 分析

陕西省卫生健康科研基金

2018D044

2024

医学动物防制
中国民主促进会河北省委员会

医学动物防制

CSTPCD
影响因子:0.553
ISSN:1003-6245
年,卷(期):2024.40(11)