2005—2014年辽宁省某地区尘肺并发肺结核病例特征

Incidence characteristics of pneumoconiosis complicated with pulmonary tuberculosis in an area of Liaoning province from 2005 to 2014

目的分析2005—2014年辽宁省某地区尘肺并发肺结核的发病情况及特点,为尘肺并发肺结核的防治及制定相关政策提供依据。方法选取辽宁省某地区确诊的6 380例尘肺病例为研究对象,使用SPSS 22.0软件包分析不同性别、不同工种、不同尘肺类型、不同发病年龄组以及不同期别的尘肺并发肺结核病例的分布。结果男女性别的尘肺并发肺结核发生率分别为12.5%、13.6%,差异无统计学意义,不同工种、不同尘肺种类、不同发病年龄组、不同期别的尘肺并发肺结核率的差异具有高度统计学意义(P<0.01),肺结核并发率最高的分别为:凿岩工,17.2%;硅肺,12.8%;60~69岁年龄组,14.6%;Ⅲ期,20.5%。结论该地区尘肺病例中,男性患者与女性患者的肺结核并发率之间差异无统计学意义,尘肺并发肺结核率最高的工种为凿岩工,并发率最高的尘肺种类为硅肺,以60~69岁年龄组发病为主,随着尘肺期别的升高,并发肺结核的发生率也增高。

Objective To analyze the incidence characteristics of pneumoconiosis complicated with pulmonary tu- berculosis in an area of Liaoning province from 2005 to 2014 to provide the basis for the prevention and control of pneumoconiosis complicated with pulmonary tuberculosis and the development of relevant policies.Methods A total of 6 380 cases of pneumoconiosis in an area of Liaoning province were selected to analyze the proportions of patients with concurrent tuberculosis on sexes ,job categories, types of tuberculosis, onset age and phases by computer with software SPSS 22.0. Results There were significant differences in the incidence of pneumoconiosis complicated with pulmonary tuberculosis among workers with job categories ,types of tuberculosis, onset age and phases（all P 〈 0.01） while there were no significant differences in the incidence of pneumoconiosis complicated with pulmonary tuberculo- sis in different sexes（females 12.5%, males 13.6%）.Drill workers had the highest incidence of pneumoconiosis com- plicated with puhuonary tuberculosis of 17.2% ,silicosis 12.8-6,14.6% among the age group of 60 ~ 69 and the phase III was 20.5%.Gonclusion There was no significant difference in the incidence of pulmonary tuberculosis between male and female pneumoconiosis patients in this area.The highest incidence of pneumoconiosis complicated with pulmonary tuberculosis was among drill workers, silicosis was highest among all pn types and the age group 60~69 was the highest.Results showed that among the pneumoconiosis patients,the higher the phases were the higher incidence of pneumoconiosis complicated with pulmonary tuberculosis.