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目的分析浙江省绍兴市老年人肺结核流行特征,为结核病预防控制提供参考依据。方法利用2008-2012年《中国疾病预防控制信息系统》和《结核病管理信息系统》的相关数据,对绍兴市老年肺结核流行病学特征作统计学分析。结果 2008-2012年全市结核病防治机构共报告老年肺结核4340例,报告发病率148.36/10万,其中涂阳1967例,涂阳发病率67.24/10万。男性发病率显著高于女性,发病以70~79岁年龄组为高峰(207.47/10万),职业分布以农民最多(79.91%),发现方式主要为因症就诊(43.87%)和转诊(48.55%),发病有明显季节性,以3—8月最多。结论绍兴市老年肺结核发病率总体稳定,呈逐年下降趋势,应重点开展老年男性、高龄老人及农民的预防控制工作。
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in the elderly in Shaoxing, Zhejiang Province, and provide reference for the prevention and control of tuberculosis. Methods Using the data of China Disease Prevention and Control Information System and Tuberculosis Management Information System from 2008 to 2012, the epidemiological characteristics of senile pulmonary tuberculosis in Shaoxing were analyzed statistically. Results From 2008 to 2012, TB control agencies in the city reported a total of 4340 elderly pulmonary tuberculosis cases, with a reported incidence rate of 148.36 / 100 000, including 1967 smear positive cases and 67.24 / 100 smear positive cases. The morbidity of males was significantly higher than that of females, with the highest incidence (207.47 / 100000) in the age group of 70-79 years and the highest number of peasants (79.91%) in the occupational distribution. The main causes of morbidity were 43.87% 48.55%), the incidence was significantly seasonal, the most in March-August. Conclusion The incidence of pulmonary tuberculosis among the elderly in Shaoxing is generally stable and shows a declining trend year by year. Prevention and control of elderly men, elderly people and peasants should be emphasized.