2014年上海市枫林社区结核病流行病学调查分析

Epidemiological Investigation About the Tuberculosis in Fenglin Community of Shanghai in 2014

目的了解上海市徐汇区枫林街道结核病疫情现状,为制定结核病防治策略提供参考依据。方法采用整群随机抽样的方法,抽取一个居委,对15岁及以上的常住人口3,750人进行肺结核症状调查和胸部X线检查,采用描述性流行病学方法进行分析。结果共有3,151人进行肺结核症状调查和肺部检查,有1例在治肺结核患者,结核病患病率31.7/105。未发现疑似结核病病例,既往有23例已治愈的肺结核患者。有145人肺部检查异常,异常率4.60%。其中65岁及以上人群肺部检查异常人数最多,为112人。男性异常率为5.34%,女性异常率为4.19%。不同性别之间肺部检查异常结果差异无统计学意义(χ2=2.18,P>0.05)。结论枫林社区结核病疫情相对较低,结核病呈低流行状态。

Objective To understand the epidemiological features of tuberculosis(TB) in Fenglin Community of Shanghai, to provide a reference for the development of tuberculosis control strategies. Methods A neighborhood was been sampled by the cluster random sampling, in where 3,750 people over 15 years old were administered chest X-ray and clinic symptoms of tuberculosis survey. Results A total of 3,151 people conducted the survey of tuberculosis symptoms and lung examination, there had one case of pulmonary tuberculosis in patients, and the TB prevalence was 31.7/10. The suspected TB cases is not found, 23 cases have been cured. There were 145 lung abnormalities, and the abnormalities rate was 4.60%. People over 65 years of age had abnormal lung examination maximum number of 112, and the abnormalities rate of male and female were 5.34% and 4.19% respectively. There had no statistically significant difference of lung abnormalities between different gender(χ2=2.18, P>0.05). Conclusion The TB epidemic in Fenglin Community is relatively low, and showed a low prevalence status.