2004—2012年云南省寻甸县肺结核流行特征

Epidemic analysis of tuberculosis in Xundian County of Yunnan Province from 2004-2012

目的进一步掌握云南省寻甸县肺结核疫情流行特征，为制定肺结核防治策略提供依据。方法对寻甸县2004--2012年肺结核疫情资料进行统计分析。结果寻甸县2004--2012年累计报告肺结核1063例，其中发病率最高年份为2005年（为29．78／10万），最低为2008年的19．08／10万，年平均发病率为22．52／10万；年平均死亡率为0．17／10万。肺结核发病年龄集中在15—40岁年龄组（61．81％）；死亡病例主要集中在65岁以上年龄组（50．00％）。职业构成比最高的为农民（73．94％），最低的为散居儿童（0．28％）；死亡病例全部为农民（100％）。结论寻甸县肺结核报告发病率呈上升趋势。应进一步加强该县肺结核防治工作，加强疫情监测，进一步降低肺结核发病率。

[ Objective ] To further understand the epidemic features of tuberculosis in Xundian County of Yunnan Province, and pro- vide evidence for developing its control strategies. [ Methods] The epidemic data of tuberculosis from 2004-2012 in Xundian County were analyzed statistically. [ Results] A total of 1 063 cases of tuberculosis were reported during 2004-2012, with highest incidence of 29.78/100 000 in 2005, lowest incidence of 19.08/100 000 in 2008 and annual incidence of 22.52/100 000 in average. The average mortality rate was 0.17/ 100 000. Most cases aged 15- 40 years （61.81% } , and most death cases aged over 65 years （50.00% }. The occupational constitution showed peasants had the highest proportion（ 73.94% ~ , while the scattered children had the lowest（0.28% ）. All death cases were peasants （100%）. [ Conclusion] The reported incidence of tuberculosis shows upward tendency in Xundian County. It is necessary to enhance the tuberculosis control, to strengthen epidemic surveillance and to further reduce its incidence.