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目的了解青海省2009-2012年活动性肺结核流行特征,为今后青海省结核病防控政策、策略和方法的制定与实施提供理论依据。方法采用描述性流行病学方法对青海省2009-2012年活动性肺结核监测数据进行分析。结果2009-2012年青海省共报告活动性肺结核患者14 118例,各年活动性肺结核登记率在59.10/10万~68.69/10万之间,年均登记率为62.97/10万,呈逐年下降趋势,经统计学分析,下降趋势差异有统计学意义(χ2=76.62,P<0.001);患者主要集中在15~54岁组;男女性别差异有统计学意义(χ2=563.28,P<0.001);发病人群以农牧民为主。结论青海省活动性肺结核登记率虽呈逐年下降趋势,但结核病防治工作仍面临诸多挑战,农牧区是重点地区,男性和青壮年人群为高危人群,应做为重点防治对象。
Objective To understand the epidemic characteristics of active pulmonary tuberculosis in Qinghai from 2009 to 2012, and to provide a theoretical basis for the formulation and implementation of future TB control strategies, strategies and methods in Qinghai Province. Methods Descriptive epidemiological methods were used to analyze surveillance data of active pulmonary tuberculosis in Qinghai from 2009 to 2012. Results In 2009-2012, a total of 14 118 active pulmonary tuberculosis cases were reported in Qinghai Province. The registration rates of active tuberculosis in each year ranged from 59.10 / lakh to 68.69 / lakh, with an average annual enrollment rate of 62.97 / lakh, showing a year by year decline (Χ2 = 76.62, P <0.001). The patients mainly concentrated in the age group of 15-54 years. The gender difference was statistically significant (χ2 = 563.28, P <0.001) ; The incidence of the main group of farmers and herdsmen. Conclusion Although the registration rate of active tuberculosis in Qinghai Province has been declining year by year, there are still many challenges in tuberculosis prevention and control work. The rural areas and pastoral areas are the key areas, and the male and young people are at high risk and should be the key prevention and treatment targets.