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目的了解腾冲县2009～2012年肺结核登记患者特征,分析患病特点,为制定中国边境地区结核病防控策略提供依据。方法下载腾冲县2009～2012年经胸部X光、CT、DR、PPD、痰检(+)(痰涂片检查)确诊并进(报)入疫情报告系统的肺结核病人登记资料,剔除县外诊断报告的本地患者及本县诊断的外地患者,将患者年龄分为<20岁,20～29,30～39,40～49,50～59岁,≥60岁6组,并根据不同性别、职业、民族等肺结核患者的流行特征进行统计和分析。结果腾冲县2009～2012年共报告本县肺结核患者717例,总患病率为27.4/10万。平均患病年龄40.6岁,其中20～40岁组患者构成比最高,占46%(331/717)。男性患者占69.6%(499/717),且患病率是女性患者的2.29倍;农民和民工患者占82.8%(594/717);少数民族占7.5%(54/717),其中傈僳族和景颇族患病率较高,为58.2/10万。结论腾冲县肺结核患者在其年龄、性别、职业及民族分布上具有统计学差异,今后应基于患者的人口学特征加以分类防治管理。
Objective To understand the characteristics of patients with tuberculosis registered in Tengchong County from 2009 to 2012, analyze the prevalence of tuberculosis and provide the basis for the development of tuberculosis prevention and control strategies in China’s border areas. Methods Tengchong County was diagnosed by X-ray, CT, DR, PPD and sputum smear from 2009 to 2012. The data of tuberculosis patients were excluded from the county Of the local patients and the local diagnosis of patients in the county, the patient’s age is divided into <20 years old, 20-29, 30-39, 40-49, 50-59 years old, ≥60 years old 6 groups, and according to different gender, occupation, Ethnic and other tuberculosis patients with the characteristics of the epidemiological statistics and analysis. Results A total of 717 pulmonary tuberculosis patients were reported in Tengchong County from 2009 to 2012, with a total prevalence of 27.4 / 100 000. The average age of onset was 40.6 years, of which the highest proportion was in the group of 20-40 years old (46%, 331/717). Male patients accounted for 69.6% (499/717), and the prevalence was 2.29 times that of female patients; peasants and migrant workers accounted for 82.8% (594/717); minorities accounted for 7.5% (54/717), of which Lisu and The prevalence of Jingpo is higher at 58.2 / 100,000. Conclusion Tengchong County tuberculosis patients have statistical differences in their age, gender, occupation and ethnic distribution, and should be classified and controlled based on their demographic characteristics in the future.