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目的分析2002-2008年吉水县肺结核病流行趋势和特点,为探讨预防控制策略提供依据。方法采用描述流行病学方法对吉水县2002-2008年传染病常规报告系统内报告的肺结核病例进行分析。结果 2002-2008年共报告肺结核病例3557例,年平均报告发病率为97.44/10万,呈逐年上升趋势(χ2=551.5,P<0.005)。无明显季节聚集性,但以3-8月份发病为多。男女发病比为2.62:1,职业以农民为主,病例主要分布在人口多且流动性大的城镇。结论吉水县肺结核发病以青壮年农民为主。各级政府及有关部门加强对肺结核防治工作的管理和投入力度,落实结核病的归口管理,提高病人发现率和治愈率,是控制肺结核流行及蔓延的有效措施。
Objective To analyze the epidemic trend and characteristics of tuberculosis in Jishui County from 2002 to 2008 and provide basis for the prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the cases of tuberculosis reported in the routine reporting system of infectious diseases in Jishui County from 2002 to 2008. Results A total of 3557 pulmonary tuberculosis cases were reported from 2002 to 2008, with an average annual incidence of 97.44 / 100 000, showing an upward trend year by year (χ2 = 551.5, P <0.005). No significant seasonal aggregation, but more incidence in March-August. The incidence of males and females was 2.62: 1, occupations were dominated by peasants, and the cases were mainly distributed in cities with large population and high mobility. Conclusion The incidence of tuberculosis in Jishui County is dominated by young and middle-aged peasants. At all levels of government and relevant departments to strengthen the management and investment in prevention and treatment of tuberculosis, to implement the centralized management of tuberculosis and improve the detection rate and the cure rate of patients is an effective measure to control the spread and spread of tuberculosis.