2010-2015年浙江省宁波市60岁以上人群肺结核流行特征分析

Epidemiological characteristics of pulmonary tuberculosis patients aged ≥60 years in Ningbo,Zhejiang,2010-2015

目的了解浙江省宁波市60岁以上人群肺结核发病特征及流行规律。方法采用描述流行病学方法对2010-2015年《结核病信息管理系统(新)》中登记的宁波市60岁以上肺结核病例资料进行分析。结果 2010-2015年间,宁波市60岁以上人群肺结核登记发病4 417例,占同期全人群登记病例数的17.1%;平均登记发病率为68.3/10万,6年间变化不大。登记病例数男女性比例为2.6∶1,涂阳构成比为51.6%,复治构成比为13.5%,均高于全人群患者相应比例。时间分布以3-10月发病最多,占71.5%。结论宁波市60岁以上人群肺结核疫情形势严峻,亟需制定有针对性的防控措施。

Objective To understand the epidemiological characteristics of pulmonary tuberculosis（ TB） patients aged ≥60years in Ningbo,Zhejiang province. Methods A retrospective study was performed in pulmonary TB patients aged ≥60years,who were registered in the tuberculosis management information system,from 2010 to 2015. Results A total of 4417 TB patients aged ≥60 years were reported in Ningbo during 2010 2015,accounting for 17. 1% of the total. The annual incidence was stable with the average of 68. 3 /100 000. The male to female ratio of the cases was 2. 6∶ 1,and smear-positive patients accounted for 51. 6% and retreat patients accounted for 13. 5% respectively,higher than those in overall population.The time distribution analysis showed that most cases occurred during March-October（ 71. 5%）. Conclusion The prevalence of TB in people aged ≥ 60 years is serious in Ningbo. It is necessary to take targeted prevention and control measures.