宁夏西吉县结核病和包虫病病例回顾性调查

A Retrospective Study on Human Echinococcosis and Tuberculosis in Xiji Country of Ningxia

目的探讨宁夏西吉县结核病和包虫病的流行病学特征。方法回顾性分析宁夏西吉县2002-2013年所有包虫病和结核病患者的病例资料。结果 2002-2013年西吉县共有196例包虫病患者和3561例结核病患者。结核病患者的平均年龄为(20.5±17.4)岁,包虫病患者的平均年龄为(47.0±15.7)岁。不同性别、民族和职业人群结核病患病率差异均有统计学意义(P均<0.05),不同职业人群包虫病患病率差异有统计学意义(P<0.05)。除红耀乡、硝河乡和兴坪乡外,其他乡镇不同年份结核病患病率的差异均有统计学意义(P均<0.05)。包虫病总患病率和结核病年平均患病率在大多乡镇变化趋势相同,在马建乡和苏堡乡的变化趋势是相反的。结论宁夏西吉县包虫病的高发与自然、社会和经济因素有关,结核病主要与社会经济因素有关。结核病和包虫病重叠流行的地区更有利于两种疾病的传播。

Objective To explore the epidemiological characteristics of tuberculosis( TB) and echinococcosis in Xiji country of Ningxia. Methods A retrospective study of echinococcosis and tuberculosis were undertaken through an analysis of clinical data in a period of 2002-2013. Results A total of 196 cases with echinococcosis and 3561 cases with tuberculosis in study period were reviewed. The average age of TB patients was( 20. 5 ± 17. 4) years old while the average age of echinococcosis cases was( 47. 0 ± 15. 7) years old. The TB clinical data showed significant difference( P < 0. 05) in gender( Females > males),ethnicity( Han > Hui)and occupations while the significant difference only occurred in a comparison of the occupations( P < 0. 05)amongst echinococcosis cases. The TB clinical data showed significant differences( P < 0. 05) in different years for every towns except Hongyao,Xiaohe and Xingping. Total echinococcosis prevalence and average tuberculosis prevalence in majority towns had the same variation trend while some towns like Subao and Majian showed opposite trends. Conclusion The high prevalence of echinococcosis in Xiji County can be correlated geographically in natural and social / cultural factors but TB morbidity mainly be correlated with socio-economic factors. The overlapped hyper-endemic areas / towns can reflect to be conducive to the transmission of both infections.