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目的了解三明市肺结核的流行特征,为制定防控措施提供依据。方法用描述流行病学方法分析2006—2015年的疫情资料。结果 2006—2015年全市共报告肺结核12 065例,年均发病率46.6/10万;死亡72例,年均死亡率0.3/10万,病死率0.6%。肺结核发病率呈下降趋势,各县区均有病例报告,以尤溪(55.4/10万)、宁化(54.2/10万)和清流(53.1/10万)发病率最高,农村发病率高于城市(55.1/10万和30.1/10万);病例以男性较多,性别比3.0∶1;年龄以>15岁为主(99.5%),老年人患病率较高(70~74岁患病率107.3/10万);职业以农民为主(61.0%)。结论三明市肺结核报告发病率呈下降趋势,今后应重点加强农村及老年人结核病防治管理和投入力度,以控制结核病流行。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis in Sanming City and provide evidence for the development of prevention and control measures. Methods Descriptive epidemiological methods were used to analyze outbreak data from 2006 to 2015. Results A total of 12 065 cases of tuberculosis were reported in the city from 2006 to 2015, with an average annual incidence of 46.6 / 100 000. There were 72 deaths with an annual average mortality of 0.3 / 100,000 and a case fatality rate of 0.6%. The incidence of tuberculosis showed a downward trend. Cases were reported in all counties with the highest incidence rate of 55.4 / 100,000, Ninghua (54.2 / 100,000) and Qingliang (53.1 / 100,000), and the incidence in rural areas was higher than (55.1 / 100000 and 30.1 / 100000). More cases were found in males with a sex ratio of 3.0: 1. The prevalence was mainly> 15 years old (99.5%) and the prevalence was high in the elderly (70-74 years old The prevalence rate was 107.3 / 100000). The main occupation was peasant (61.0%). Conclusions The incidence of tuberculosis in Sanming City shows a decreasing trend. In the future, the prevention and control of tuberculosis in rural areas and the elderly should be strengthened to control the tuberculosis epidemic.