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目的分析绍兴市肺结核流行病学特征,为开展结核病防控工作提供科学依据。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肺结核15 050例,报告发病率68.58/10万,其中涂阳5 715例,涂阳发病率26.04/10万,男性发病率显著高于女性,发病以20~64岁年龄段为主,占73.36%,地区分布以诸暨最多3 868例,职业分布以农民最多(占62.78%),发现方式主要为因症就诊(占48.11%)和转诊(占45.48%),发病有明显季节性,以3-6月为高峰。结论绍兴市肺结核发病率总体稳定,呈逐年下降趋势,应重点开展男性人群以及农民、民工的预防控制工作。
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in Shaoxing and provide a scientific basis for the prevention and control of tuberculosis. Methods The epidemiological characteristics of pulmonary tuberculosis in Shaoxing City were statistically analyzed using the data of China Disease Prevention and Control Information System and Tuberculosis Management Information System from 2008 to 2012. Results A total of 15 050 cases of tuberculosis were reported from 2008 to 2012 in the city. The reported incidence was 68.58 / 100 000, of which 5 715 were smear positive and the incidence of smear positive was 26.04 / 100 000. The incidence of male was significantly higher than that of female 20-64 years of age, accounting for 73.36%, with a maximum of 3868 cases in Zhuji and the largest number of peasants (62.78%) in the distribution of occupations. The main causes of the illness were medical treatment (48.11%) and referral 45.48%), the incidence was significantly seasonal, peaked in March-June. Conclusion The incidence of tuberculosis in Shaoxing City is generally stable, showing a declining trend year by year. The prevention and control of male population as well as peasants and migrant workers should be emphasized.