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目的了解天津市2005―2013年结核病死亡率及分布特征。方法从中国疾病预防控制中心结核病信息管理系统中收集天津市2005―2013年结核病患者死亡资料,采用描述流行病学方法进行分析。结果天津市2005―2013年共报告结核病死亡病例563例,年均死亡率为0.52/10万。男性426例,女性137例,年均死亡率分别为0.77/10万及0.26/10万,男性死亡率高于女性(P﹤0.01);结核病死亡率随着年龄增长而呈上升趋势,≥35岁死亡病例占97.34%(548/563),其中≥65岁占64.48%(363/563)。城市结核病死亡率为0.72/10万,农村死亡率为0.41/10万,城市高于农村(P﹤0.05)。患者死亡时间以治疗2个月后死亡的比例最高,为54.71%。结论天津市结核病死亡率多年来始终处于一个较低水平,老年人及男性人群死亡率较高,应继续探讨针对特殊人群的防控策略,进一步降低死亡率。
Objective To understand the prevalence and distribution of tuberculosis in Tianjin from 2005 to 2013. Methods The death data of tuberculosis patients in Tianjin from 2005 to 2013 were collected from the tuberculosis information management system of China Center for Disease Control and Prevention. The descriptive epidemiological method was used to analyze the data. Results A total of 563 deaths from tuberculosis were reported from 2005 to 2013 in Tianjin, with an average annual mortality rate of 0.52 / 100,000. There were 426 males and 137 females, with an average annual mortality of 0.77 / lakh and 0.26 / lakh respectively, with a higher mortality rate in males than in females (P <0.01). Tuberculosis mortality increased with age The death of patients accounted for 97.34% (548/563), of which 64.5% (363/563) ≥65 years old. Urban tuberculosis mortality was 0.72 / 100,000, rural mortality was 0.41 / 100,000, and in urban areas was higher than that in rural areas (P <0.05). The proportion of patients who died after 2 months of treatment had the highest death rate of 54.71%. Conclusion The death rate of tuberculosis in Tianjin has been at a low level for many years. The mortality rate of the elderly and males is high. The prevention and control strategies for special populations should be continued to further reduce the mortality rate.