重庆市北碚区2012―2014年肺结核病流行病学分析

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目的了解重庆市北碚区2012―2014年肺结核病流行特征,为制定防治对策提供科学依据。方法采用描述流行病学方法对重庆市北碚区2012―2014年肺结核病登记数据进行分析。结果重庆市北碚区2012―2014年共报告肺结核病例1 044例,年均报告发病率为45.85/10万,报告发病率逐年下降(P<0.01);年均涂阳登记率为19.37/10万,年均痰检阳性率为42.24%。男性776例,女性268例,男女性别比为2.89∶1;以45~64岁年龄组病例较多,占病例总数的39.36%;病例职业以农民居多(485例,占46.46%)。全区17个镇(街)均有病例报告,其中以东阳街道报告病例最多(171例,占16.38%)。结论重庆市北碚区2012―2014年肺结核病以中老年男性、农民人群发病为主,今后应加强重点人群、重点地区的结核病防控工作,有效控制北碚区肺结核病疫情。 Objective To understand the epidemic characteristics of pulmonary tuberculosis in Beibei District of Chongqing from 2012 to 2014 and provide a scientific basis for the development of control strategies. Methods Descriptive epidemiological method was used to analyze the data of tuberculosis registration in Beibei District of Chongqing from 2012 to 2014. Results A total of 1 044 pulmonary tuberculosis cases were reported in Beibei District of Chongqing from 2012 to 2014, with an average annual incidence rate of 45.85 / 100 000, the reported incidence decreased year by year (P <0.01); the annual average rate of smear positive registration was 19.37 / 100 000 , The average annual sputum examination positive rate was 42.24%. There were 776 males and 268 females, with a male / female ratio of 2.89: 1. There were more cases in the 45-64 age group, accounting for 39.36% of the total cases; 485 cases (46.46%) were professional cases. There are case reports in 17 towns (streets) in the entire district, of which, Dongyang Street reported the most cases (171 cases, accounting for 16.38%). Conclusions TB cases in Beibei District of Chongqing Municipality from 2012 to 2014 mainly focus on the incidence of middle-aged and elderly men and peasants. In the future, TB prevention and control in key populations and key areas should be strengthened to effectively control the TB epidemic in Beibei District.
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