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

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