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目的评估崇明县涂阳肺结核患者发病特征,探讨进一步的预防与控制策略。方法采用描述性流行病学方法对崇明县2008—2009年新发涂阳肺结核患者流行病学资料进行分析。结果 2008—2009年全县共报告新发涂阳肺结核患者214例,发病率2008年为17.55/10万,2009年为13.27/10万;男性发病情况明显比女性严重,男女发病性别比为2.69:1;地区分布不均衡,城桥镇发病人数最多,占发病总数的18.22%;病例全部为青壮年和老年;职业分布以农民和离退人员为主,分别占发病总数的63.55%和14.02%;3月份为发病高峰时间,占18.22%。结论崇明县涂阳结核病疫情2009比2008年有明显缓解,但仍很严重,涂阳病例以青壮年农民和离退休老人为主,应继续有针对性地加强涂阳肺结核防治工作的投入和管理。
Objective To evaluate the incidence of smear-positive pulmonary tuberculosis in Chongming County and to explore further prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemiological data of smear-positive pulmonary tuberculosis in Chongming from 2008 to 2009. Results A total of 214 new smear-positive pulmonary tuberculosis cases were reported in the county from 2008 to 2009, with a prevalence of 17.55 / lakh in 2008 and 13.27 / lakh in 2009. The incidence of male was significantly higher than that of female and the sex ratio of male to female was 2.69 : 1; the area is unevenly distributed, with the highest incidence in Chengqiao Town accounting for 18.22% of the total number of cases; all the cases are young and old; the occupations are mainly farmers and retirees, accounting for 63.55% and 14.02% of the total respectively %; Peak incidence in March, accounting for 18.22%. Conclusion The epidemic situation of smear-positive tuberculosis in Chongming County in 2009 was obviously relieved compared with 2008, but it was still very serious. The cases of smear-positive cases were mainly young peasants and retired seniors, and should continue to be targeted to strengthen the investment and management of smear-positive tuberculosis prevention and treatment .