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目的了解东阳市外地户籍人口肺结核疫情状况,为制定外地户籍人口肺结核防治策略提供依据。方法分析东阳市2005—2014年外地户籍人口肺结核患者资料,描述其发病趋势和疾病分布特征。结果 2005—2014年共登记活动性肺结核4 387例,其中本地户籍3 325例,外地户籍1 062例。外地户籍人口肺结核中,男性727例,女性335例;主要分布在15~54岁年龄段,占94.92%;职业以民工和农民为主,占92.47%;省外肺结核患者主要来自贵州省492例和江西省122例。本地户籍患者就诊延迟率为42.98%,外地户籍患者就诊延迟率为42.47%,两者就诊延迟率比较差异无统计学意义(P>0.05);2005—2014年本地和外地户籍患者就诊延迟率均呈下降趋势(P<0.05)。外地户籍患者主要来源于转诊,占70.06%。结论东阳市2005—2014年外地户籍人口肺结核患者呈增加趋势,应采取有效措施加以控制。
Objective To understand the epidemic situation of pulmonary tuberculosis in the household registration population in Dongyang City and provide evidence for the prevention and control of tuberculosis in the registered permanent residents. Methods To analyze the data of pulmonary tuberculosis patients from 2005 to 2014 in Dongyang City, and to describe the trend and distribution characteristics of the disease. Results A total of 4 387 active tuberculosis cases were registered in 2005-2014, including 3 325 local permanent residents and 1,062 permanent residents. Among the registered permanent residents in the region, 727 were males and 335 were females. They were mainly distributed in the age group of 15-54 years, accounting for 94.92% of the total population. Occupation was dominated by migrant workers and peasants, accounting for 92.47% of the total. Outpatients with pulmonary tuberculosis mainly came from 492 cases of Guizhou Province And 122 cases in Jiangxi Province. The delay rate of visit to local registered permanent residents was 42.98% while the rate of delayed visit of registered permanent residents was 42.47%. There was no significant difference in delay rates between the two groups (P> 0.05) Showing a downward trend (P <0.05). The majority of registered permanent residents in the field came from referrals, accounting for 70.06%. Conclusion From 2005 to 2014, Dongyang City residents with registered permanent residents with pulmonary tuberculosis showed an increasing trend and should take effective measures to control it.