池州市2001～2004年肺结核病流行病学分析

Epidemiological Analysis of Pulmonary Tuberculosis in Chizhou City from 2001 to 2004

目的 研究池州市2001-2004年肺结核疫情动态，为控制结核病传播提供依据。方法 对池州市4年来肺结核报告病例进行流行病学分析。结果 2001-2004年全市共新登记活动性肺结核4340例，涂阳病人1320人，其中新发涂阳905例，复发涂阳415例。年均活动性肺结核新登记率70．05／10万，菌阳新登记率21．30／10万，新发涂阳登记率14．61／10万。4340例活动性肺结核患者中，男性发病率明显高于女性（P〈0．05），以青壮年为主。79．70％的患者是农民，农民发病率明显高于其他职业人群（P〈0．01）。乡镇活动性肺结核新登记率明显高于城区（P〈0．01）。结论 男性，青壮年及农民患者是当前实施现代肺结核控制策略的重点。农村地区是肺结核高发区，也是结核病预防控制难点所在。

Objective To understand the epidemic situation of pulmonary tuberculosis in Chizhou city from 2001 to 2004. Methods Epidemiological feature of the cases reported in the past 4 years were analyzed. Results There were 4 340 movable pulmonary tuberculosis cases newly registered in whole city from 2001 to 2004, 1 320 of which were smear positive, including 905 new smear positive cases, 415 recurrent. The average new registered rate of the movable pulmonary tuberculosis was up to 70.05/105. The new registered rate of sputum smear positive cases was up to 21.30/105. The new registered rate of new smear positive cases was up to 14.61/105. In the 4 340 patients, the number of male patients was higher than that of female （ P 〈 0.01 ）. Most of the patients were young and 79.70% of the patients were peasants. The peas- ant incidence rate was higher than other professional groups （ P 〈 0.05 ）. The new registered rate of movable pulmonary tu- berculosis patients in rural area were much higher than urban area （ P 〈 0.01 ）. Conclusion The male, the young and farm- er patients had become the focal point of Pulmonary Tuberculosis control and prevention. There were much more pulmonary tuberculosis cases in the rural areas and controlling them was hard.