云南省永胜县87例初治肺结核流行特征及临床分析

Epidemiological Characteristics and Clinical Analysis of 87 Cases of Newly Diagnosed Pulmonary Tuberculosis in Yongsheng County of Yunnan Province

目的:了解农村地区人群中活动性肺结核的流行病学及临床特点。方法:对收集的永胜县人民医院结核门诊2017年5月至2018年1月87例初治肺结核患者的流行病学及临床资料进行分析。结果:87例患者均来自农村,其中85例(97.7%)职业为农民,2例(2.3%)为离退人员,少数民族患者合计占比67.8%,男:女=1.6:1。平均年龄(50.9±16.3)岁。痰涂片查抗酸杆菌阴性47例(54.0%),阳性40例(46.0%)。结论:该地区活动性肺结核具有少数民族、农村人口、中老年、男性比重大,营养不良患者多的特点,西部农村少数民族地区仍然是肺结核防治的重点地区。

Objective: To analyze the epidemiological and clinical characteristics of active tuberculosis in rural areas. Methods: The epidemiological and clinical data of 87 patients with newly diagnosed pulmonary tuberculosis from May 2017 to January 2018 were collected. Results: 87 patients were from rural areas, among whom 85(97.7%)were farmers, and 2(2.3%)were retired. The minority patients accounted for 67.8% of the total, male : female = 1.6 : 1. The average age was(50.9±16.3)years old. The sputum smears were found to be negative in 47 cases(54.0%)and positive in 40 cases(46.0%). Conclusion: Active tuberculosis in this region has the characteristics of ethnic minorities, rural population, middle-aged and elderly, males, and malnutrition patients. The rural minority areas in western China are still the key areas for tuberculosis prevention and control.