邢台市2008～2012年肺结核流行病学特征分析

目的分析2008~2012年邢台市肺结核感染情况及变化趋势,为结核病防控策略提供依据。方法利用《中国疾病预防控制信息系统》结核病专报系统,对不同职业、不同性别和年龄组人员肺结核感染情况进行统计和分析。结果 2008~2012年,邢台市各级结防机构累计接诊疑似肺结核和肺结核患者72 202例,登记活动性肺结核患者18 503例,年均登记率为55.16/10万,登记率呈下降趋势(χ2活动性=38.65,P0.01);涂阳、涂阴患者的年登记率分别为34.74/10万、20.42/10万,涂阳登记率呈下降趋势(χ2涂阳=99.53,P0.01);涂阴登记率呈上升趋势(χ2涂阴=11.13,P=0.025)。感染者以农民最多,为15 979例,占86.36%,呈逐年上升趋势。男性活动性肺结核患者年均登记率(70.84/10万)高于女性(37.12/10万),男、女活动性肺结核患者登记率差异有统计学意义(χ2登记率=1722,P0.01)。15~64岁年龄组15 118例,占81.71%,呈逐年上升趋势。结论 2008~2012年邢台市的结核病疫情呈逐年下降趋势,但仍处于较高水平,进一步加大结核病防治工作力度,全面有效地推行现代结核病防控策略。

Epidemiologic features of tuberculosis infection in Xingtai city from 2008 to 2012

Objective To analyze the prevalence of tuberculosis in Xingtai City. Methods From 2008 to 2012, statistical data of TB cases were obtained from ＂China Disease Control and Prevention Information System＂ and analyzed by age, occupation and gender. Results Totally 72 202 suspected TB cases and TB cases were registered,and 18 503 active TB cases, the annual registration rate was 55.16/100 000, showed descending trend of registration rate（χ^2= 38.65, P 0.001）; The annual positive and negative registration rates of sputum smear were 34.74/100000 and 20.42/100 000, respectively. The positive rate of sputum smear decreased（χ^2= 99.53, P0.001）, therefore, the positive rate of sputum smear showed increasing trend（χ^2= 11.13, P= 0.025）. 15 979 TB patients were farmers, accounted for 86.36%, showed an increasing trend. Annual registration rate of male patients（70.84/100 000） with active TB was higher than female（37.12/100 000）, showed a statistically significant difference（χ^2= 1722, P 0.001） and 15 118（81,71%） cases were in the age group of 15-64 years, showed an increasing trend. Conclusion The incidence of TB showed descending trend in Xingtai city from 2008 to 2012, but further efforts be made to prevent and control the prevalence ofTB.