西安市阎良区2009—2013年结核病疫情分析

Analysis of tuberculosis epidemic situation in Yanliang District of Xi'an City during 2009 to 2013

目的调查西安市阎良区2009—2013年结核病疫情的流行状况,为结核病防控工作的可持续发展提供依据。方法运用描述流行病学方法,对西安市阎良区2009—2013年报告的肺结核病例进行流行病学特征分析,采用SPSS18.0软件对数据进行分析。结果 2009—2013年共登记结核患者772例,年均发病率60.47/10万,年均新发涂阳登记率20.44/10万;继发性肺结核(Ⅲ型)占95.60%;男女性别比为1.78∶1;发病以15岁以上为主(99.48%),65岁以上年龄段发病最高(27.85%);职业以农民为主,发病456例(59.06%)。结论西安市阎良区2009—2013年结核病发病率有逐年上升趋势,新发涂阳率逐年下降,发病以农民为主,男性居多。加强农村的结核病防治工作是控制结核病疫情的重要任务之一。

Objective To investigate tuberculosis （TB） epidemic situation in Yanliang District of Xi＇an City during 2009 to 2013 ,and to provide scientific evidence for the prevention and control of TB .Methods Epidemic characteristics of TB patients were analysed using descriptive epidemiological methods .SPSS 18 .0 was used for data analysis . Results A total of 772 cases were registered during 2009 to 2013 , the incidence rate being 60.47/100 000 .The yearly average incidence of new smear‐positive registered cases was 20 .44/100 000 ,and the secondary pulmonary TB （type Ⅲ） accounted for 95 .60% of all cases .The sex ratio was 1 .78∶1 ,people over 15 years old contributed to the majority of the cases （99 .48% ） ,and people over 65 years old had the highest incidence rate （27 .85% ） .The incidence was highest among farmers ,with 456 cases （59 .06% ） registered .Conclusions During 2009 to 2013 , the TB incidence had a rising trend , while the new smear‐positive registered cases had a declining trend .The incidence was the highest among male farmers .The TB situation in rural areas needed more concern .