摘要
目的了解福建省肺结核流行特征并进行分析,为结核病防治提供依据。方法对2004~2013年《中国疾病预防控制信息系统》的传染病报告信息管理系统报告的福建省肺结核报告卡进行整理,根据不同时间、地区、年龄、性别及职业对患者的发病率及不同分类等特征进行统计和分析。结果 2004~2013年全省肺结核平均报告发病率为75.73/10万,涂阳和菌阴肺结核患者比例呈逐年上升趋势,分别从37.30%上升到49.30%和从32.07%上升到48.23%（P〈0.01）;未痰检患者比例呈逐年下降趋势,从30.54%下降到2.22%。全省活动性肺结核报告发病率呈下降趋势,年平均递降率为7.22%,活动性肺结核报告发病率下降速度较涂阳肺结核快,分年龄构成比青年组最高（36.25%）。青年组、中年组和老年组肺结核患者的分类构成均为涂阳肺结核最高,分别为42.86%（43 194/100 771）,46.88%（42 095/89 790）和42.32%（29 604/69 954）,儿少组的分类构成菌阴肺结核最高（43.70%,7 600/17 393）。肺结核患者构成以男性居高（73.00%）。报告发病的肺结核患者中,构成比最高的职业为农民（46.07%）,涂阳肺结核患者所占比例最高的为公共场所服务员（51.72%,241/466）。结论 2004~2013年福建省肺结核疫情得到有效控制。
Objective To understand the epidemiological characteristics of TB in Fujian province,so as to provide the basis for TB control. Methods The pulmonary TB（PTB）reporting data of total population from China information system for disease control and prevention were collected and analyzed.Reported incidence of different classifications（time,area,age,sex and occupation）was got and compared. Results During 2004-2013,the average annual reported incidence of active PTB was 75.73/105.The proportion of smear positive PTB showed an increasing trend from 37.30%to 49.30%,the proportion of culture negative PTB showed an increasing trend from 32.07%to 48.23%（P 0.01）,and the proportion of PTB without sputum examination showed a decreasing trend from 30.54%to 2.22%.The reported incidence of active PTB in which the young group had the highest proportion of 36.25%,declined faster than that of smear positive PTB.Smear positive patients took the highest proportion in the youth（42.86%）,the middle aged（46.88%）and the old groups（42.32%）,and smear negative patients took the highest proportion（43.70%）in the adolescent group.The male PTB had a higher proportion（73.00%）.In all occupations,PTB in the farmer group took the highest proportion（46.07%）and the smear positive PTB took the highest proportion（51.72%,241/466）in the occupation of service providers in public places. Conclusion There are definite improvements of TB control in Fujian province during 2004-2013.
出处
《预防医学论坛》
2016年第8期574-577,581,共5页
Preventive Medicine Tribune
基金
福建省卫生厅青年科研课题(课题编号2013-1-16)
关键词
结核
肺
流行特征
Tuberculosis
Pulmonary
Epidemiological characteristics
