北京市延庆区2012～2016年就诊肺结核及诊断结果分析

Analysis of pulmonary tuberculosis and diagnosis in yanqing district of Beijing from 2012 to 2016

目的通过对北京市延庆区2012～2016年就诊肺结核患病者流行特征进行分析,探讨北京市延庆区肺结核的流行趋势及适合该地肺结核特征的预防和控制措施。方法对北京市延庆区2012～2016年初诊登记的肺结核患者资料进行收集,并分析其流行特征。结果 2012～2016年北京市延庆区结防所初诊共登记肺结核患者1 133例,其中男695例,占61.34%,女438例,占38.66%。25～35岁者400例,占35.30%。居住地情况方面以外地人为主,占79.70%,本地人仅占20.30%。职业分布上以务农/家务、待业人员为主,分别占68.58%、27.45%,学生和工人所占比例相对较少,分别为0.79%、0.71%。类型上主要以涂阳肺结核者为主,占65.05%,涂阴肺结核者占34.95%。结论男性、25～35岁、务农/家务人员、外地人口为主要发病群体,应将此类患者作为重点监测对象,加强健康教育,开展多渠道、全方位的疾病监测,预防和控制结核病的发生。

Objective By analyzing the epidemic characteristics of patients with tuberculosis who visited the hospital in yanqing district of Beijing from 2012 to 2016,this paper discussed the epidemic trend of tuberculosis in yanqing district of Beijing and the prevention and control measures suitable for the characteristics of tuberculosis there.Methods The data of tuberculosis patients registered in the first quarter of 2012~2016 in Yanqing District,Beijing were collected and analyzed for their epidemiological characteristics.Results From 2012 to 2016,a total of 1 133 patients with pulmonary tuberculosis were enrolled in the Yanqing District Defence Prevention Center in Beijing,including 695 males,accounting for 61.34%and 438 females,accounting for 38.66%.400 patients aged 25 to 35 years old,accounting for 35.30%.People living outside the land are predominant,accounting for 79.70%,and locals only account for 20.30%.The occupational distribution is mainly based on agriculture/housework and unemployed persons,accounting for 68.58%and 27.45%respectively.The proportion of students and workers is relatively small,0.79%and 0.71%respectively.The type is mainly smear-positive tuberculosis,accounting for 65.05%,and smear-negative tuberculosis accounts for 34.95%.Conclusion Males,25-35 years old,farmers/housemen,and foreign populations are the main disease groups.These patients should be the key monitoring targets.Strengthen health education,conduct multi-channel and comprehensive disease monitoring,and prevent and control smear,which could help to decrease the occurrence of tuberculosis.