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目的了解无锡市锡山区肺结核的流行特点和规律,为制定结核病防治策略提供依据。方法对锡山区2007-2012年肺结核病的登记资料,应用流行病学方法进行分析。结果锡山区2007-2012年共登记活动性肺结核病例1 630例,年均发病率37.88/10万,其中新发涂阳720例,其他涂阳91例。男性发病率明显高于女性,男女性别比为2.55∶1。15~44岁年龄组发病占比为61.23%。民工的报告发病数占总发病数的35.52%,其次为农民,占发病数的28.77%。地区分布以云林镇报告发病率最高(39.79/10万),且呈上升趋势。结论 2007-2012年肺结核病疫情先呈下降趋势,2010年后又呈上升趋势。应加强包括外来流动人口在内的结核病管理、开展肺结核健康知识宣传等措施来控制疫情的传播。
Objective To understand the epidemiological characteristics and rules of tuberculosis in Xishan District of Wuxi City and provide the basis for formulating tuberculosis prevention and control strategies. Methods The registration data of tuberculosis in Xishan District from 2007 to 2012 were analyzed by epidemiological method. Results A total of 1 630 active pulmonary tuberculosis cases were registered in Xishan District from 2007 to 2012, with an average annual incidence of 37.88 / 100 000, of which 720 were new smear positive and 91 were smear positive. The incidence of males was significantly higher than that of females, with a male-to-female ratio of 2.55: 1. The incidence of diseases in the age group of 15-44 years old was 61.23%. The reported incidence of migrant workers accounted for 35.52% of the total number of diseases, followed by farmers, accounting for 28.77% of the number of cases. The geographical distribution of Yunlin town reported the highest incidence (39.79 / 100000), and the upward trend. Conclusions The epidemic situation of tuberculosis in 2007-2012 initially shows a downward trend, and after 2010 it shows an upward trend again. Measures should be taken to control the spread of the epidemic, such as strengthening the management of tuberculosis including migrants outside the country and conducting publicity on tuberculosis health knowledge.