2011—2018年新疆皮山县肺结核病流行病学特征分析

Analysis of epidemiological characteristics of pulmonary tuberculosis in Pishan county,Xinjiang from 2011 to 2018

目的分析2011—2018年新疆皮山县肺结核病流行特征,为制定防控措施提供参考意见。方法采用描述流行病学方法,分析结核病管理信息系统中皮山县报告的结核病疫情数据。结果 2011—2018年皮山县登记活动性肺结核病5 871例、年均登记率为276.40/10万;以农民为主(95.62%);登记率女性(277.47/10万)高于男性(275.33/10万),差异有统计学意义(χ~2=18.284,P<0.05);各年龄组均发病,登记率65岁以上组最高,年平均登记率藏桂乡最高(421.21/10万)、县城街道最低(144.28/10万),差异有统计学意义(χ~2=224.208,P<0.05),全年均有病例登记。结论肺结核病仍然是皮山县目前疾病防控的重点;应有针对性地开展健康教育宣传,制定有效的干预措施,降低登记率。

Objective To analyze the epidemiological characteristics of pulmonary tuberculosis(TB)in Pishan county of Xinjang from 2011 to 2018,and provide reference for developing prevention and control measures.Methods The epidemic information of TB reported in Pishan were collected from tuberculosis management and information system,and analyzed with descriptive epidemiology methods.Results There were 5871 cases of TB registered in Pishan county from 2011 to 2018,with the average incidence rate of 276.40/100000.Most cases were farmers(95.62%).The incidence rate was higher in the female(277.46/100000)than in the male(275.33/100000),with statistical difference(χ2=18.284,P<0.05).There were cases reported in all age groups,with the highest incidence rate in age group of 65 years and over.The average incidence rate was the highest in Zanggui township(421.21/100000),and the lowest in county proper(144.28/100000),with statistical difference(χ2=224.208,P<0.05).There were cases reported all the year round.Conclusions The pulmonary tuberculosis is still the key infectious diseases for prevention and control in Pishan county at present.The targeted health education and propaganda should be implemented,and the effective intervention measures should be formulated to reduce the incidence of TB.