2008—2017年上海市松江区肺结核流行状况及患者治疗转归情况

Epidemic status and treatment outcomes of tuberculosis in 2008-2017 in Songjiang District,Shanghai

【目的】分析上海市松江区2008—2017年肺结核流行病学分布特征及治疗转归情况,为今后制定结核病的防治策略提供科学依据。【方法】根据中国疾病预防控制信息系统登记的数据,对2008—2017年松江区肺结核疫情、流行特征、治疗转归情况进行统计分析。【结果】松江区2008—2017年共报告管理活动性肺结核患者5 516例,年均报告发病率为33.58/10万,发病率总体呈下降趋势(χ~2=6.13,P <0.05),流动人口肺结核年均报告发病率显著高于户籍人口,差异有统计学意义(χ~2=263.28,P <0.05);男女性别比为2.17:1;70%以上的患者集中在15~44岁;职业以工人最多(39.45%),其次是家务及待业(16.28%);肺结核患者成功治疗率为93.38%,其中初治患者的成功治疗率为93.41%,复治患者成功治疗率为92.86%;复治涂阳患者治疗失败率高于初治涂阳患者,差异有统计学意义(χ~2=4.96,P <0.05)。【结论】2008—2017年松江区肺结核疫情保持在较低水平,但离终止结核病仍有很大距离,应重点加强15~44岁工人和待业青年的结核病防控工作。

[Objective]To characterize the epidemic status and treatment outcomes of tuberculosis(TB)from 2008 to 2017 in Songjiang District of Shanghai for the development of TB prevention and control strategies.[Methods]According to case registration data in the TB management information system,statistical analysis was performed on the epidemic situation,epidemiological characteristics and treatment outcomes of TB cases in Songjiang District from 2008 to 2017.[Results]There were 5516 reported cases in 2008-2017 in Songjiang District.The average annual reported incidence was 33.58/100000,which was declining(χ~2=6.13,P<0.05).The incidence was significantly higher in the floating population than that in the household registered population(χ~2=263.28,P<0.05).In the cases,gender ratio was 2.17:1.More than 70%of the cases were between 15 and 44 years old.The majority of the cases were workers(34.95%),followed by housework or unemployed(16.28%).The proportion of TB case responding to the treatment was 93.38%,which was 93.41%for newly diagnosed cases and 92.86%for previously treated cases.The failure rate in the previously treated smear-positive cases was significantly higher than newly treated smear-positive cases(χ~2=4.96,P<0.05).[Conclusion]TB epidemic in Songjiang District remained at a low level in 2008-2017;however,it is far away from the termination of TB.We should further strengthen the prevention and control of TB,especially in the 15-44 years old workers and unemployed young population.