上海市静安区2005—2007年肺结核发病特征分析

Analysis on Epidemiological Characters of Pulmonary Tuberculosis from 2005 to 2007

目的对静安区2005—2007年结核病疫情进行调查、统计分析,为更加有效地促进结核病防治工作提供依据。方法调查本区户籍在2005—2007年间被确诊登记的全部肺结核病例,采用SPSS12.0统计软件进行数据分析。结果(1)本区户籍2005—2007年的6月、7月病例数最高,2007年下半年开始病例数与前2年同期比较有下降趋势。(2)每年发病例数45岁以上占73.4%、71.4%和64.9%,55岁以上占50.7%、40.5%和39.2%。(3)职业构成中肺结核病例每年离退休人员所占比例最高,分别占41.3%、34.5%和36.5%,其次为待业者和工人,每年学生也占一定比例。(4)性别构成上,每年男性比例是女性的2.26～3.12倍,发现方式大部分来自于求诊,比例都大于89.0%,少量来自于健康体检。结论应对重点人群尤其是老年人和待业人员加强管理,开展形式多样的健康促进活动,有助于提高结核病控制和管理水平。

OBJECTIVE To analyze the epidemiological characters of pulmonary tuberculosis patients for providing scientific on the control measures. METHODS The data of patients in three years were analyzed. RESULTS （1）Morbility of pulmonary tuberculosis from 2005 to 2007 is stable, the highest is in June and July. （2）The proportion of the above 45 years old cases take up the total between 2005 and 2007 was 73.4%, 71.4% and 64.9% separately, while the number among people above 55 years old was 50.7%, 40.5% and 39.2%.（3） The proportion of the patients from retirements was 41.3%, 34.5%, 36.5% separately, the next were unemployments.（4） The ratio of male to female of patients is 2.26-3.12. The most patients came from outpatients, the fewer from health examination.CONCLUSIONS It is helpful for improve the control and management of tuberculosis to strengthen TB control among elderly patients and unemployments.