2013一2021年新疆伊宁县肺结核流行特征分析

Epidemiological characteristics of pulmonary tuberculosis in Yining county,Xinjiang from 2013 to

目的分析2013一2021年新疆伊宁县肺结核流行特征,为当地做好肺结核防控工作提供依据。方法从中国结核病信息管理系统导出2013一2021年伊宁县20个乡(镇、片区)的肺结核监测数据,运用描述流行病学方法分析肺结核发病的时间分布、地区分布和人群分布。结果2013一2021年伊宁县共报告肺结核病例4792例,年均报告发病率127.3/10万;发病有明显的季节性,1月平均报告发病率最高15.2/10万,10月最低7.9/10万;年均报告发病率较高的乡(镇)分别为阿吾利亚乡172.4/10万、墩麻扎镇155.8/10万、巴依托海镇153.9/10万和温亚尔镇153.7/10万;报告发病率男性高于女性(χ^(2)=377.670,P<0.001),报告病例年龄主要集中在25~35岁,共1379例、占28.78%。结论伊宁县结核病防控应重点关注男性和中青年人群,尤其是阿吾利亚乡、墩麻扎镇和巴依托海镇等高发地区,予以相应的政策倾斜,增加防控经费和医疗资源投入,从而阻断肺结核的传播途径,降低肺结核发病率。

Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in Yining county of Xinjiang from 2013 to 2021,and provide evidence for local tuberculosis prevention and control.Methods The data of tuberculosis surveillance in 20 townships(towns,districts)of Yining county during 2013-2021 were derived from China Tuberculosis Information Management System,and the time distribution,regional distribution and population distribution were analyzed by descriptive epidemiological method.Results From 2013 to 2021,a total of 4792 cases with pulmonary tuberculosis were reported in Yining county,with average annual incidence of 127.3/100000.The incidence was obviously seasonal.The highest incidence was 15.2/100000 in January and the lowest was 7.9/100000 in October.The high annual incidence rate was 172.4/100000 in Awulia town,155.8/100000 in Dunmazha town,153.9/100000 in Bayituohai town and 153.7/100000 in Wenyar town.The reported incidence of the male was higher than that of the female(χ^(2)=377.670,P<0.001),and the age of reported cases was mainly concentrated in 25-35 years old,with 1379 cases,accounting for 28.78%.Conclusions The males,young and middle-aged people should be focused on for tuberculosis prevention and control in Yining county,especially in Awulia town,Dunmazha town and Bayituohai town where the incidence are high.The support of policy tilt and the fund for prevention and contorl and the resources of medicine should be supplied,so as to blocking-up the transmission of pumonary tuberculosis,and decrease the incidence.