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目的了解惠州市老年人肺结核疫情特点,为完善老年结核病防控策略提供依据。方法通过描述性研究方法对2009~2013年惠州市老年人口(年龄≥60周岁)活动性肺结核报告发病情况进行流行病学描述。结果惠州市2009~2013年累计报告老年人肺结核3 887例,年均报告发病率为199.61/10万。报告发病率2009年最高(264.09/10万),2013年报告发病率209.75/10万,5年间报告发病率下降20.58%;无明显季节高峰。老年人结核病报告发病的年龄高峰为75~79岁(250.89/10万),不同年龄组的报告发病率差异有统计学意义(P<0.01);男性高于女性;不同县区报告发病率差异有统计学意义(P<0.01)。结论惠州市老年人结核病疫情仍较重,全市各级结核病防治机构应继续加强结核病防治知识的宣传,及时发现并有效治疗老年人结核病患者,积极推进老年人结核病的防治工作。
Objective To understand the characteristics of outbreaks of pulmonary tuberculosis among the elderly in Huizhou and provide the basis for improving the prevention and control strategies of tuberculosis in the elderly. Methods Descriptive method was used to describe the incidence of active pulmonary tuberculosis in the elderly (≥60 years of age) in Huizhou City from 2009 to 2013. Results A total of 3 887 elderly pulmonary tuberculosis cases were reported in Huizhou from 2009 to 2013, with an average annual incidence of 199.61 / 100,000. The highest incidence was reported in 2009 (264.09 / 100,000). The reported incidence in 2013 was 209.75 / 100,000. The reported incidence decreased by 20.58% in five years. There was no obvious seasonal peak. The incidence of tuberculosis in the elderly was at the peak of 75-79 years (250.89 / 100000). The reported incidence of different age groups was statistically significant (P <0.01); the male was higher than the female; the incidence of tuberculosis in different counties was different There was statistical significance (P <0.01). Conclusion The prevalence of tuberculosis in the elderly is still high in Huizhou. TB prevention and treatment institutions at all levels in the city should continue to publicize TB knowledge, discover and effectively treat tuberculosis patients in the elderly, and actively promote prevention and treatment of tuberculosis in the elderly.