池州市2001～2004年肺结核病流行病学分析

目的研究池州市2001~2004年肺结核疫情动态,为控制结核病传播提供依据。方法对池州市4年来肺结核报告病例进行流行病学分析。结果2001~2004年全市共新登记活动性肺结核4 340例,涂阳病人1 320人,其中新发涂阳905例,复发涂阳415例。年均活动性肺结核新登记率70.05/10万,菌阳新登记率21.30/10万,新发涂阳登记率14.61/10万。4 340例活动性肺结核患者中,男性发病率明显高于女性(P<0.05),以青壮年为主,79.70%的患者是农民,农民发病率明显高于其他职业人群(P<0.01)。乡镇活动性肺结核新登记率明显高于城区(P<0.01)。结论男性,青壮年及农民患者是当前实施现代肺结核控制策略的重点。农村地区是肺结核高发区,也是结核病预防控制难点所在。

Epidemiological Analysis of Pulmonary Tuberculosis in Chizhou City from 2001 to 2004

Objective To understand the epidemic situation of pulmonary tuberculosis in Chizhou city from 2001 to 2004.Methods Epidemiological feature of the cases reported in the past 4 years were analyzed.Results There were 4340 movable pulmonary tuberculosis cases newly registered in whole city from 2001 to 2004,1320 of which were smear positive,including 905 new smear positive cases,415 recurrent.The average new registered rate of the movable pulmonary tuberculosis was up to 70.05/10~(5).The new registered rate of sputum smear positive cases was up to 21.30/10~(5).The new registered rate of new smear positive cases was up to 14.61/10~(5). In the 4340 patients,the number of male patients was higher than that of female(P<0.01).Most of the patients were young and 79.70% of the patients were peasants.The peasant incidence rate was higher than other professional groups(P<0.05).The new registered rate of movable pulmonary tuberculosis patients in rural area were much higher than urban area(P<0.01).Conclusion The male,the young and farmer patients had become the focal point of Pulmonary Tuberculosis control and prevention.There were much more pulmonary tuberculosis cases in the rural areas and controlling them was hard.