2004-2011年石家庄市肺结核流行病学特征分析

目的分析石家庄市2004-2011年肺结核流行病学特征,为做好预防控制工作提供依据。方法资料来源于"全国传染病疫情信息报告系统"的2004-2011年肺结核疫情数据,分析肺结核的人群、地区、时间分布特征。结果(1)2004-2011年石家庄市肺结核平均发病率为73.56/10万,病死率为7.42/万,8年间肺结核发病率波动不明显。年龄发病特征为10岁以下肺结核发病率较低,10岁开始发病率明显上升,20岁达到一小高峰,25岁以后发病率有所回落,35岁以后发病率又开始明显上升,70岁时达发病最高峰。男性发病明显高于女性;职业分布特征以农民最多,平均占69.15%,其次是学生平均占9.65%和工人平均占5.23%。(2)2004年、2005年、2008年城区发病率高于县乡,2007年、2009年、2010年、2011年县乡发病率高于城区。(3)肺结核全年均有发病,季节性不明显,但每年2月份发病数略低。结论石家庄市肺结核发病在20岁有一小高峰,70岁有一大高峰,其中农民所占比例最多,其次是学生,应做好农民和学生的预防控制工作。

Epidemiological analysis of pulmonary tuberculosis in Shijiazhuang City from 2004 to 2011

Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in Shijiazhuang from 2004 to 2010,and provide basis for control work.Method Analyze the distribution characteristics of group,region and time according to the data of pulmonary tuberculosis collected by National Information Reporting System for Infectious Diseases Epidemics.Results(1)The average incidence rate of pulmonary tuberculosis was 73.56/100 000,and the fatality rate was 7.42/100 000.The incidence rate didn't fluctuate obviously during the eight years.Children under 10 years old had lower incidence;The incidence rate obviously increased,and reached a peak in 20 years old;The incidence rate began to decrease after 25 years old,increased obviously after 35 years old,and reached the highest peak in 70 years old.The incidence rate of male was higher than that of female.Peasants had the highest incidence(69.15%),followed by students(9.65%) and workers(5.23%).(2)The incidence rate in urban area was higher than that in county area in 2004,2005,and 2008,while the incidence rate in county area was higher than that in urban area in 2007,2009,2010 and 2011.(3) The pulmonary tuberculosis had no obvious seasonality,but the cases in February were low.Conclusions The peak ages of pulmonary tuberculosis were 20 and 70 years old,among which,peasants were the most,followed by students,thus we should adopt the control measures among peasants and students.