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采用描述性流行病学方法,对天台县2005-2014年报告的肺结核病的流行概况、地区分布情况、人群分布情况、涂阳患者转归队列情况及合并感染艾滋病及耐多药情况进行分析。采用SPSS 15.0软件,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果显示,2005-2014年,天台县肺结核病年平均发病率及年平均涂阳发病率分别为58.94/10万、23.39/10万,肺结核发病率呈下降趋势(χ2=37.80,P<0.01);不同年间肺结核发病率差异有统计学意义(χ2=56.05,P<0.01);涂阳发病率总体呈下降趋势(χ2=31.18,P<0.01),2005-2010年涂阳发病率较稳定,2012-2013年涂阳发病率低于其他年份,不同年份间肺结核涂阳发病率差异有统计学意义(χ2=49.87,P<0.01)。在天台县15个乡镇中,始丰街道、三合镇、福溪街道发病率较高,年平均发病率分别为71.27/10万、68.23/10万、67.96/10万;不同乡镇间年平均发病率差异有统计学意义(χ2=67.90,P<0.01)。男女发病率之比为2.35∶1,差异有统计学意义(χ2=558.20,P<0.01);发病以农民为主(81.26%),其次是学生(4.40%)和工人(4.11%);≥65岁老年人发病率达到了高峰。天台县肺结核病疫情呈逐年下降趋势,但随着年龄的增长,肺结核发病率呈明上升趋势;涂阳患者治愈率保持在较高水平。
Descriptive epidemiological methods were used to analyze the prevalence, distribution and crowd distribution of tuberculosis reported by Tiantai from 2005 to 2014, the cohort regression of smear-positive patients and the co-infection status of HIV / AIDS and MDR. Using SPSS 15.0 software, counting data using χ2 test, P <0.05 for the difference was statistically significant. The results showed that the average annual incidence of tuberculosis and the annual average incidence of smear-positive tuberculosis in Tiantai were 58.94 / lakh and 23.39 / lakh in 2005-2014, respectively. The incidence of tuberculosis showed a decreasing trend (χ2 = 37.80, P <0.01) (Χ2 = 56.05, P <0.01). The incidence of smear-positive smears was generally decreased (χ2 = 31.18, P <0.01), and the incidence of smear-positive smear in 2005-2010 was more stable. The incidence of smear positive smear in 2012-2013 was lower than other years. The incidence of smear positive pulmonary tuberculosis in different years was significantly different (χ2 = 49.87, P <0.01). Among the 15 townships in Tiantai County, the incidence rates of Shifeng Street, Sanhe Town and Fusi Street are relatively high with annual average rates of 71.27 / 100000, 68.23 / 100000 and 67.96 / 100000 respectively. The annual average The incidence of difference was statistically significant (χ2 = 67.90, P <0.01). The incidence of males and females was 2.35: 1, the difference was statistically significant (χ2 = 558.20, P <0.01). The incidence was mainly peasant (81.26%), followed by students (4.40%) and workers The incidence of 65-year-old reached a peak. Tiantai tuberculosis epidemic showed a downward trend year by year, but with age, the incidence of tuberculosis showed an upward trend; smear-positive patients maintained at a high level.