2004年岑巩县肺结核疫情分析

Analysis on epidemic situation of tuberculosis in Cengong County of 2004

目的探索肺结核发病特点,为肺结核防治工作提供科学依据。方法采用EXCEL2000处理疫情资料,制作统计分析图表;用!2检验进行统计学分析。结果岑巩县2004年肺结核疫情呈全县散发伴少数乡镇聚集性发病。男、女性发病差异有统计学意义(发病率分别为216.21/10万、113.12/10万,!2=35.4276,P<0.005);青壮年发病居多,15～54岁发病人数占总病例数的58.71%。农民、学生及学龄前儿童发病人群数占总病例数的84.18%。结论岑巩县2004年肺结核疫情呈全县散发,局部地区聚集性发病。青壮年发病居多,农民是主要发病群体,学生及学龄前儿童占有一定比例。以农村为重点,强化部门协作,实施DOTS策略,加强婴幼儿卡介苗接种工作,是控制结核病疫情的主要手段。

Objective This study was performed to explore the morbidity characteristics of tuberculosis, and so provide scientific evidence for prevention and control of tuberculosis. Methods EXCEL 2000 was used for processing data on epidemic situation and making chart of statistical analysis, and at the same time, chi-square test was applied to statistical analysis. Results The epidemic situation of tuberculosis in Cengong County of 2004 appeared sporadic occurrence for the whole county but clustering occurrence for few towns. The morbidity difference between male and female had a statistical significance （morbidity of male and female respectively： 216.21/lakh and 113.12/lakh,χ^2=35.4276, P〈0.005）, and most of the attacked patients were young adults, and the number of patients aged 15 to 54 years was 58.71% of total of the cases. The farmers, students and preschool children among the patients occupied 84.18% of the total. Conclusion The epidemic situation of tuberculosis in Cengong County of 2004 appeared sporadic occurrence for the whole county but clustering occurrence locally. Most patients were young adults while farmers were the main, and students and preschool children had some proportion. As a main measure for control of the epidemic situation of tuberculosis, the rural areas should be attached the most importance, cooperation between departments should be strengthened, DOTS strategy be implemented, and bcg vaccination among infants be reinforced.