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目的了解和掌握乐亭县肺结核的发病和流行情况,为进一步防治肺结核病提供科学依据。方法采用描述性流行病学方法对乐亭县2010-2012年登记的肺结核病人资料进行分析。结果 2010-2012年乐亭县累计发现肺结核病人635例,年平均登记率42.9/10万,经综合医院报告转诊及结防机构追踪发现共382例,占登记总数的60.2%;全年均有发病,以8月份为发病高峰;职业为农民最多;男性病例明显多于女性,差异有统计学意义(χ2=165.05,P<0.01);45~74岁年龄组占58.9%。结论乐亭县肺结核病的流行病学情况与全国第五次结核病流调的疫情情况相一致,但是年平均登记率低,病人的发现存在薄弱环节。应加大宣传力度,提高群众对结核病防治政策和知识的知晓率;同时加强与各级综合医疗机构的合作,对中老年人群重点开展结核病防控工作。
Objective To understand and master the incidence and prevalence of tuberculosis in Laoting County and provide a scientific basis for further prevention and treatment of pulmonary tuberculosis. Methods Descriptive epidemiological methods were used to analyze the data of tuberculosis patients registered in Laoting County from 2010 to 2012. Results A total of 635 pulmonary tuberculosis cases were found in Laoting County from 2010 to 2012, with an average annual enrollment rate of 42.9 / 100 000. A total of 382 cases (60.2% of the total) The incidence was highest in August. The occupation was the largest number of peasants. The number of males was significantly higher than that of females (χ2 = 165.05, P <0.01). The percentage of females aged 45-74 was 58.9%. Conclusions The epidemiological status of pulmonary tuberculosis in Laoting County is consistent with the epidemic situation of the fifth TB epidemic in China. However, the annual average registration rate is low, and the patient’s findings are weak. Publicity should be stepped up to raise public awareness of tuberculosis prevention and control policies and knowledge. At the same time, we should step up cooperation with comprehensive medical institutions at all levels and focus on prevention and control of tuberculosis in the elderly population.