首页|2017-2022年东海县肺结核病流行特征分析

2017-2022年东海县肺结核病流行特征分析

Analysis of epidemiological characteristics of pulmonary tuberculosis in Donghai County from 2017 to 2022

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目的 分析东海县近6年肺结核病流行病学特征,为肺结核病防治提供科学依据.方法 采用描述流行病学方法,对2017-2022年现住址为东海县的肺结核报告病例资料进行分析.结果 2017-2022年东海县肺结核报告发病合计1 575例,报告发病率依次为29.66/10万、29.85/10万、23.36/10万、17.49/10万、12.23/10万、13.87/10万,年均报告发病率为21.13/10万.其中2017-2019年平均报告率为27.62/10万,2020-2022年平均报告率为14.64/10万.男性肺结核患者占75.43%(1 188/1 575),女性占24.57%(387/1 575);男性病例多集中在60岁及以上年龄组,占52.27%(621/1 188),女性病例多集中在20~59岁年龄组,占54.78%(212/387);职业以农民为主,占94.60%(1490/1 575),其次为学生,占2.79%(44/1 575);报告发病率较高的乡镇为曲阳、青湖、桃林,年均报告发病率分别为49.88/10万、37.54/10万、34.99/10万.2017-2022年肺结核病原学阳性诊断率总体呈上升趋势,病原学阳性率依次为40.16%(147/366)、54.30%(202/372)、57.39%(167/291)、71.56%(156/218)、79.61%(121/152)、74.43%(131/176);报告病例流动人口构成比先不断上升后出现明显下降,构成比依次为5.74%(21/366)、9.41%(35/372)、14.78%(43/291)、15.60%(34/218)、0、0.结论 2017-2022年东海县肺结核病报告发病率总体呈下降趋势,且新冠疫情防控政策的调整对该县肺结核报告发病率有较大影响,仍应采取综合干预措施,稳步推进肺结核病防控工作.
Objective This study was aimed at analyzing the epidemiological characteristics of tuberculosis in Donghai County in the past 6 years,to provide a scientific basis for the prevention and cure of tuberculosis.Methods Re-ported cases of pulmonary tuberculosis in people with current addressses in Donghai County from 2017 to 2022 were ana-lyzed with descriptive epidemiological methods.Results A total of 1 575 tuberculosis cases were reported in Donghai Coun-ty from 2017 to 2022.The reported incidence rates in each year were 29.66/100 000,29.85/100 000,23.36/100 000,17.49/100 000,12.23/100 000 and 13.87/100 000,and the annual average reported incidence rate was 21.13/100 000.The annual average reported incidence rate of tuberculosis was 27.62/100 000 from 2017 to 2019 and 14.64/100 000 from 2020 to 2022.A total of 75.43%(1 188/1 575)of the cases were in males,and 24.57%(387/1 575)were in females.Cases in males were concentrated in people 60 years of age or older,accounting for 52.27%(621/1 188),whereas cases in females were concen-trated in people 20-59 years of age,accounting for 54.78%(212/387).Most cases occurred in farmers,accounting for 94.60%(1490/1 575),followed by students,accounting for 2.79%(44/1 575).Quyang,Qinghu and Taolin had the highest re-ported incidence,with annual average incidence rates of 49.88/100 000,37.54/100 000 and 34.99/100 000,respectively.The etiological positivity rate of tuberculosis increased from 40.16%(147/366)to 54.30%(202/372),57.39%(167/291),71.56%(156/218),79.61%(121/152)and 74.43%(131/176)by year.The proportion of the floating population with tubercu-losis first increased and then decreased significantly;the proportions were 5.74%(21/366),9.41%(35/372),14.78%(43/291),15.60%(34/218),0 and 0 by year,respectively.Conclusions The incidence rate showed a showed a downward trend in Donghai County from 2017 to 2022,and the adjustment of COVID-19 prevention and control policies substantially affect-ed the reported incidence rate of tuberculosis in Donghai County.Comprehensive intervention is necessary to pro-mote the prevention and control of tuberculosis.

Pulmonary tuberculosisEpidemiologi-cal monitoringIncidence rate

张健、吴同浩、孙波

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东海县疾病预防控制中心,江苏东海 222300

肺结核 流行病学监测 发病率

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(4)
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