2009—2011年无锡市老年肺结核病疫情分析

Epidemiological analysis of elderly tuberculosis in Wuxi City from 2009-2011

目的分析2009—2011年无锡市老年肺结核病疫情特点,探讨如何更好地做好老年肺结核病患者的发现工作。方法分析比较2009—2011年老年肺结核疫情在整个人群中的分布情况以及延迟诊断情况。结果该市60岁以上组老年肺结核占较大比例(30%左右),2009—2011年在整个登记患者中构成比和登记数呈下降趋势;传染性比例55岁组以上逐年增高,至75岁组达高峰;60岁以上组老年肺结核复治比例比60岁以下组高2倍以上;就诊延迟和确诊延迟比例均明显高于60岁以下组,两组之间差异有统计学意义(就诊延迟χ2=27.802,P<0.01;确诊延迟χ2=15.868,P<0.01)。结论应采取加强特定人群宣传力度和医疗机构专题培训等措施,做好老年肺结核病患者的早期发现工作。

[ Objective ] To analyze the epidemiologieal characteristics of tuberculosis in elder people in Wuxi City, and to explore a better way of finding elderly tuberculosis patients. [ Methods] The epidemiological data of elderly tuberculosis patients from 2009 to 2011 were analyzed and compared to know the distribution situation as well as the delay in diagnosis. [ Results ] In Wuxi City, tuberculosis patients aged over 60 years accounted for a large proportion （ about 30% ） , but the proportion was decreasing from 2009 to 2011 as well as the patients number. The infectious ratio of over 55 years age group increased with age and reached a peak in 75 years age group. The proportion of retreated patients in 〉 60 age group was more than two times higher than 〈 60 age group. The proportions of delay in treatment and diagnosis in 〉60 age group were also higher, the difference Was significant （ treatment delay χ2=27 . 802, P〈0 . 01 ; diagnosis delay χ2=15. 868, P〈0 . 01）. [ Condusion]Educatian to specific population and special training to medical institutions should be carried out to early discover elderly tuberculosis patients .