2016年贵州省兴义市结核病流行病学调查分析

Epidemiological investigation and analysis of tuberculosis in Xingyi city in 2016

目的了解贵州省兴义市结核病的流行现状及危害,评价兴义市结核病防治措施,为制定兴义市2016至2020年结病防治规划提供科学依据。方法采用分层整群随机抽样方法,在兴义市26个乡镇、街道办事处首先收集整理所有乡镇(街道)户籍人口,保障抽取对象为15岁及以上的常住居民1 000人以上的村,随机抽取一个村作为结核病流行病学调查点,共抽样调查1 016人。对所有参与调查人员进行DR胸片;对胸片异常及疑有肺结核症状者进行痰涂片和痰培养检查,对培养阳性的标本进行菌种鉴定和药物敏实验。结果兴义市活动性肺结核患者患病率为196.85/10万,男女比为1:1,涂阳肺结核患病率为98.42/10万;菌阳患病率为98.42/10万;肺结核患病率和涂阳、菌阳的患病率男性高于女性;老年人结核病患病率高于中青年患病率;结论本次调查了解兴义市结核病流行现状和2000年以来开展现代结核病控制策略防治成效,有关资料及其研究分析结果为政府制订控制结核病流行的决策和相关研究提供了科学依据。

Objective To understand the epidemic situation and harm of tuberculosis in Xingyi City, Guizhou province, Evaluation of tuberculosis control measures in Xingyi city,To provide scientific basis for the prevention and control of the disease in Xingyi from 2016 to 2020.Method Stratified cluster random sampling method,In Xingyi 26 towns, street offices first collect all township （street） household population,Guaranteed extraction of 15 years old and above permanent residents of more than 1 000 villages,Randomly selected a village as tuberculosis epidemiological survey points,A total of 1 016 people.DR chest X-ray for all participants;Sputum smear and sputum culture were performed on abnormal chest X-ray and suspected tuberculosis symptoms,Culture positive samples were identified by bacteria and drug sensitivity test.Result The prevalence rate of active pulmonary tuberculosis patients in Xingyi city was 196.85/10, The ratio of male to female was l：l,The prevalence rate of smear positive pulmonary tuberculosis was 98.42/10 million; The prevalence of bacterial positive rate was 98.42/10 million ;The prevalence rate of pulmonary tuberculosis and the prevalence of smear positive and smear positive were higher than that of female;The prevalence of tuberculosis in the elderly is higher than that in young people; Conclusion The survey to understand the status of the prevalence of tuberculosis in Xingyi and the effectiveness of the prevention and treatment of modem tuberculosis control strategy since 2000,The relevant data and the results of the study provide a scientific basis for the government to formulate policy and related research to control the epidemic of tuberculosis.