自贡市1985～2004年肺结核死亡趋势分析

ANALYSIS ON EPIDEMICAL TENDENCY OF MORTALITY OF PULMONARY TUBERCULOSIS IN ZIGONG FROM 1985 TO 2004

[目的]分析自贡市1985～2004年间肺结核的死亡流行趋势,为制定今后的防治对策提供科学依据。[方法]依据1985～2004年自贡市肺结核疫情报告资料,采用死亡率对该地区肺结核病死亡情况进行分析。[结果]1985～2004年自贡市肺结核死亡率呈逐年下降趋势,总死亡率下降了89.14%,其中男性下降88.39%,女性下降90.63%。男女肺结核死亡率差异无统计学意义(u=1.079,P﹥0.2)。随着时间推移,肺结核在低年龄组死亡率逐步下降,死亡率高峰向高年龄组后推,且死亡率高峰处实际死亡率也在逐年下降。[结论]20年间自贡市肺结核病防治工作成效明显。但老年肺结核死亡率仍然较高,应积极采取各种相应的措施提高老年肺结核病人的发现率和治愈率。

[Objective] To study the mortality and epidemical tendency of PTB in the surveillance areas of Zigong, and provide scientific basis for prevention and control measures in the future. [Methods] According to the repine data of PTB epidemic situation during 1985-2004, mortality was calculated to analyze the death situation in Zigong. [ Results] The mortality rate of PTB showed descendent trend from 1985 to 2004. The total mortality of PTB decreased by 89.14%, and the mortality descended by 88.39% and 90.63% for male and female respectively. There was no statistical difference in the mutality between the two genders （u = 1.079, P〉 0.2）. The mortality of PTB desended in yougers year ＇after year, the mortality peak was pushed toward older age, and the mortality on the top descended gradually. [Conclusion] The practice of tuberculosis control program in Zigong in the twenty years is successful. However, the situation of PTB in elders is severe, so various counter-measures should be adopted to improve the detection rate and the cure rate of elderly PTB patients.