摘要
目的:分析2014—2023年江西省上饶市肺结核流行病学特征。方法:采用回顾性研究方法,从“中国疾病预防控制信息系统”子系统“结核病信息管理系统”中搜集2014年1月1日至2023年12月31日上饶市登记报告的确诊及临床诊断肺结核患者信息(包括现住址、性别、年龄、登记报告日期、病原学结果等),分析肺结核患者的三间分布情况。人口数据来自“疾病预防控制信息系统”子系统“疾病预防控制综合管理”。结果:2014—2023年,上饶市共登记报告肺结核患者43811例,年均报告发病率为65.75/10万(43811/66632321),且报告发病率由2014年的78.38/10万(5212/6649809)降低至2022年的48.36/10万(3136/6484824),再回升至2023年的52.21/10万(3360/6434958),总体呈下降趋势[年均变化率(AAPC)=-5.43%,χ^(2)_(趋势)=1117.434,P<0.001]。其中,病原学阳性患者25247例(57.63%),阳性率由2014年的57.35%(2989/5212)上升至2023年的72.56%(2438/3360),总体呈上升趋势(AAPC=2.71%,χ^(2)_(趋势)=226.576,P<0.001);年均报告发病率男性患者[91.45/10万(31351/34282149)]、60~74岁及≥75岁年龄组[分别为184.84/10万(14230/7698544)和183.19/10万(4529/2472236)],以及万年县、鄱阳县和广信区[分别为75.09/10万(2734/3640961)、71.80/10万(9163/12762269)和71.39/10万(5213/7301905)]分别高于女性[38.52/10万(12460/32350172)]、0~14岁年龄组[1.75/10万(260/14860009)]和铅山县[49.69/10万(2082/4189642)],差异均有统计学意义(χ^(2)=7088.438,P<0.001;χ^(2)=33721.474,P<0.001;χ^(2)=413.969,P<0.001),且男性、农民、≥60岁年龄组患者占比较高[分别为71.56%(31351/43811)、71.38%(31274/43811)、42.82%(18759/43811)]。3月份报告发病率最高[6.38/10万(4254/66632321)],12月份最低[4.28/10万(2854/66632321)],总体呈下降趋势[月均变化率(AMPC)=-3.12%,χ^(2)_(趋势)=442.474,P<0.001]。结论:上饶市肺结核发病率总体虽呈下降趋势,但需关注2023年较2021年和2022年有所回升的原因,并加�
Objective:To analyze the epidemiological characteristics of pulmonary tuberculosis in Shangrao City,Jiangxi Province from 2014 to 2023.Methods:A retrospective was conducted to collect the information(including current address,gender,age,registration report date,etiology results,etc.)of confirmed and clinically diagnosed registered in Shangrao City from January 1,2014 to December 31,2023 from the“Tuberculosis Information Management System”,a subsystem of the“China Disease Prevention and Control Information System”,and analyzed the three distribution of patients with pulmonary tuberculosis.The population data came from the subsystem“Integrated Management of Disease Prevention and Control”of the Disease Prevention and Control Information System.Results:From 2014 to 2023,a total of 43811 cases of pulmonary tuberculosis were registered and reported in Shangrao City,with an average annual reported incidence rate of 65.75/100000(43811/66632321),and the reported incidence rate decreased from 78.38/100000(5212/6649809)in 2014 to 48.36/100000(3136/6484824)in 2022,and then rose to 52.21/100000(3360/6434958)in 2023,showing a general downward trend(AAPC=-5.43%,χ^(2) _(trend)=1117.434,P<0.001).Among them,pathogenic positive patients 25247 cases(57.63%),the positive rate increased from 57.35%(2989/5212)in 2014 to 72.56%(2438/3360)in 2023,showing an overall upward trend(AAPC=2.71%,χ^(2) _(trend)=226.576,P<0.001).The annual average reported incidence rate of male patients(91.45/100000(31351/34282149)),60-74 and≥75 age groups(184.84/100000(14230/7698544)and 183.19/100000(4529/2472236)respectively),and Wannian County,Poyang County and Guangxin District(75.09/100000(2734/3640961),71.80/100000(9163/12762269)and 71.39/100000(5213/7301905)respectively)were higher than that of female patients(38.52/100000(12460/32350172)),0-14 age groups(1.75/100000(260/14860009))and Yanshan County(49.69/100000(2082/4189642)),with statistically significant differences(χ^(2)=7088.438,P<0.001;χ^(2)=33721.474,P<0.001;χ^(2)=413.969,P<0.00
作者
夏军
Xia Jun(Tuberculosis Prevention and Control Department of Shangrao Center for Disease Control and Prevention,Shangrao 334000,China)
出处
《结核与肺部疾病杂志》
2024年第4期325-332,共8页
Journal of Tuberculosis and Lung Disease
关键词
结核
肺
流行病学研究特征(主题)
数据说明
统计
上饶市
Tuberculosis,pulmonary
Epidemiologic study characteristics as topic
Data interpretation,statistical
Shangrao City
