2007—2011年桂林市肺结核病疫情流行特征

Epidemic features of TB in Guiling City from 2007-2011

目的通过结核病专报系统了解桂林市肺结核病患者报告情况,分析疫情报告的动态变化和流行病学特征,为今后结核病控制规划提供依据。方法对2007—2011年结核病专报系统报告的肺结核患者资料进行描述性分析。结果 2007—2011年共报告肺结核18 187例,平均报告发病率71.52/10万;报告发病呈逐年下降的趋势,从2007年的87.5/10万,下降至2011年的58.96/10万;涂阳占43.03%,所占的比例逐年上升;男性发病高于女性,男女之比为3.09∶1;发病年龄主要集中在15~74岁之间,占发病总数的90.08%;农民发病最高,占78.64%;全市每月均有病例报告,第1、4季度发病率相对稍低;交通便利的县区发病率较偏远山区的高,最高的荔浦县为101.61/10万,最低的资源县为48.17/10万,市城区呈逐年上升的趋势。结论桂林市积极推行现代结核病控制策略,加强直接督导短程化疗(DOTS)管理措施,使结核病发病率下降,但肺结核疫情仍不容乐观,要针对不同人群,采取行之有效的结核病防治管理措施,控制肺结核病的蔓延。

[ Objective] To understand the TB patients data via TB special reporting system, to analyze the dynamic changes of epidemic reporting and epidemiological characteristics, and provide evidence for the future TB control programs. [ Methods ] Descriptire analysis was performed on TB patients data reported in TB special reporting system from 2007-2011. [ Results] A total of 18 187 TB eases were reported from 2007-2011, with average reported incidence of 71.52/1 O0 000. The incidence showed annual deelining trend, from 87.5/100 000 in 2007 to 58.96/100 000 in 2011. Smear positive occupied 43.03% , with upward trend. Male eases were more than female cases, with ratio of 3.09： 1. TB eases distributed in e^Tery month, the incidence was relatively low in I st quarter and 4th quarter. The incidence of counties with convenient transportation was higher than that of remote mountain area,with the highest （ 101.61/100 000） in Lipu County and the lowest （48.17/100 000） in Ziyuan County, showing upward tendency in urban area. [ Conclusion ] Guiling City actively promotes the modern TB control strategy, strengthen DOTS management to reduce the TB incidence. But the TB epidemic is still not optimistic, effective TB prevention and management measures should be adopted to control the spread of TB, aiming at different populations.