宝鸡市2008—2017年肺结核病的流行特征分析

Analysis of epidemic characteristics of pulmonary tuberculosis in Baoji city from 2008 to 2017

目的分析宝鸡市2008—2017年结核病的流行特征和趋势,为今后制订防治措施提供依据。方法采用描述流行病学方法和Excel表对宝鸡市2008—2017年结核病疫情进行分析。结果2008—2017年我市共报告登记活动性肺结核20943例,年均登记率为55.70/10万,其中涂阳患者6221例,年均登记率为16.54/10万。男性发病率高于女性,登记率比为1.89∶1。病例主要集中在15~75岁及以上,且随着年龄增加,登记率呈增高趋势,65~74岁剧增,75岁以上达高峰。发病患者以农民为主(75.06%)。每月均有登记病例,1月最低,3月最高。全市9县3区均有发病,太白县和凤县登记率偏低,其余县区差异不明显。结论宝鸡市2008—2017年肺结核登记率总体呈下降趋势,男性高于女性,65岁以上老年人群登记率较高,职业分布以农民为主。今后应加强65岁以上老年男性人群的防治筛查工作,把工作的重点放在农村。

Objective To provide basis for the formulation of prevention and control measures in the future by analyzing the epidemic characteristics and trend of tuberculosis in Baoji city from 2008 to 2017.Methods Descriptive epidemiological methods and Excel sheets were applied to analyze the epidemic situation of tuberculosis in Baoji city from 2008 to 2017.Results From 2008 to 2017,a total of 20943 activepulmonary tuberculosis patients were registered in our city,with an average annual registration rate of 55.70/100000,including 6221 smear positive patients,with an average annual registration rate of 16.54/100000.The incidence of male was higher than that of female,and the ratio of registration rates was 1.89∶1.The cases were mainly concentrated in 15-75 years old and above,the registration rate showed an increasing trend with the increase of age,increased sharply in 65-74 years old,and reached a peak in 75 years old and above.The patients were mainly farmers(75.06%).Cases were reported every month,the lowest was in January and the highest was in March.All 9 counties and 3 districts in the city had the disease,the registration rate of Taibai county and Feng county were lower,the differences of other counties were not obvious.Conclusion The registration rate of tuberculosis in Baoji city has generally shown a downward trend from 2008 to 2017,male was higher than female,the elderly population of over 65 years old had a higher registration rate.The occupations of patients were mainly farmers.In the future,it should strengthen prevention and screening work of male population of over 65 years old,and put work focus in the countryside.