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目的通过了解崇左市江州区肺结核的流行病学特征,为制定预防控制措施提供科学依据。方法对2009—2012年崇左市江州区肺结核疫情资料进行流行病学分析。结果 2009—2012年共有肺结核病1 671例,年平均发病率为126.43/10万,各年发病率分别为104.3/10万、106.19/10万、130.09/10万、168.32/10万,呈逐年递增趋势,年度之间发病率比较,差异有统计学意义(χ2=69.09,P<0.01),提示结核病防控形势仍然严峻;地区分布显示,病例集中在江州区9个乡镇中的太平镇、驮卢镇、江州镇和左州镇等4个乡镇,占69.42%(1 160/1 671);每月均有病例报告,但无明显季节性;发病年龄主要集中在45~74岁,占55.72%(931/1 671);职业分布以农民为主,占77.20%(1 290/1 671);男女性别之比为2.59∶1。结论该市应采取各种有效的方式、方法加强对广大民众进行肺结核防治知识及国家免费政策的宣传,提高农民对肺结核的知晓率,切实加强肺结核病的归口管理,从而扼制传染源,减少结核病的发生和流行。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis in Jiangzhou District of Chongzuo City and provide a scientific basis for making prevention and control measures. Methods Epidemiological analysis of epidemic situation of tuberculosis in Jiangzhou District of Chongzuo City from 2009 to 2012 was conducted. Results A total of 1 671 cases of tuberculosis were reported from 2009 to 2012, with an average annual incidence of 126.43 / lakh. The annual incidence rates were 104.3 / lakh, 106.19 / lakh, 130.09 / lakh and 168.32 / lakh respectively, (Χ2 = 69.09, P <0.01), suggesting that the TB control situation is still grim; the distribution of the regions shows that the cases are concentrated in Taiping Town, 9 townships in Jiangzhou District , Tuolu Township, Jiangzhou Township and Zuozhou Township, accounting for 69.42% (1 160/1 671). There are monthly reports of cases but no obvious seasonal features. The incidence ages mainly range from 45 to 74 years old Accounting for 55.72% (931/1 671). The main occupational distribution was peasants, accounting for 77.20% (1 290/1 671). The ratio of male to female was 2.59:1. Conclusion The city should take various effective ways to strengthen public awareness of tuberculosis prevention and control and free state policies to improve the farmers’ awareness of tuberculosis and effectively strengthen centralized management of tuberculosis to curb the sources of infection and reduce tuberculosis The occurrence and prevalence.