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目的通过分析2011—2014年南宁市常住人口结核病流行的时间、空间及人群分布,为结核病的防治工作提供理论依据。方法利用结核病管理信息系统获取南宁市常住人口的结核病报告信息,并进行流行病学描述分析。结果 2011—2014年南宁市常住人口累计报告结核病28 893例,年均报告发病率53.68/10万。各年份报告发病率分别为48.46/10万、56.02/10万、53.59/10万、56.56/10万,总体呈上升趋势(χ2=102.564,P<0.01);结核病发病无明显季节性。在结核病报告病例中,男性占72.00%,女性占28.0%,发病年龄以25岁以上人群居多,农民(56.94%)是肺结核发病最多的人群,但各年度农民报告发病率显著低于非农民报告发病率;常住人口为上林县的报告发病率最高,市区发病率最低。结论南宁市常住人口报告结核病发病例数总体仍呈上升趋势,政府应继续对结核病防治工作加大投入,加强当地结核病防治政策及技术研究,各地区在落实好国家各项防治政策的同时,应积极探索适合自身情况的防治策略。
Objective To analyze the distribution of time, space and population distribution of tuberculosis among the permanent population in Nanning from 2011 to 2014 so as to provide a theoretical basis for the prevention and control of tuberculosis. Methods TB information system was used to obtain TB report information of resident population in Nanning and the epidemiological analysis was conducted. Results In 2011-2014, a total of 28 893 cases of tuberculosis were reported to the resident population in Nanning, with an average annual incidence rate of 53.68 / 100 000. The reported incidence rates in each year were 48.46 / 100000, 56.02 / 100000, 53.59 / 100000 and 56.56 / 100000, respectively, with an overall upward trend (χ2 = 102.564, P <0.01). The incidence of tuberculosis was not significantly seasonal. Among the reported cases of tuberculosis, 72.00% were men and 28.0% were women. The age of onset was over 25 years of age. Peasants (56.94%) were the most affected persons with tuberculosis. However, the incidence of peasants in each year was significantly lower than that of non-peasants Incidence; The resident population is Shanglin County, the highest incidence of the report, the lowest urban incidence. Conclusion The resident population in Nanning reported an overall upward trend in the number of cases of tuberculosis. The government should continue to increase investment in tuberculosis prevention and control and strengthen local tuberculosis prevention and control policies and technical studies. While implementing various national prevention and control policies, all regions should, at the same time, Actively explore suitable strategies for prevention and treatment of their own situation.