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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。
Objective To study the epidemic situation of pulmonary tuberculosis in Chizhou City from 2001 to 2004 and provide the basis for controlling the spread of tuberculosis. Methods Epidemiological analysis of pulmonary tuberculosis cases reported in Chizhou City for 4 years was conducted. Results From 2001 to 2004, 4,340 new TB cases were registered in the city, including 1,205 smear positive patients, of which 905 were new smear positive and 415 were recurrent smear positive. The average annual registration rate of active tuberculosis was 70.05 / 100000, the new registration rate of bacteria Yang was 21.30 / 100000, the new registration rate of smear was 14.61 / 100000. Among 3404 active pulmonary tuberculosis patients, the incidence of male was significantly higher than that of female (P <0.05). Among young adults, 79.70% of them were peasants. The incidence of peasants was significantly higher than that of other occupational groups (P <0.01). The new registration rate of active TB in townships was significantly higher than that in urban areas (P <0.01). Conclusions Male, young and peasant patients are the current focus of the implementation of modern TB control strategies. Rural areas are high incidence of tuberculosis, tuberculosis prevention and control is also difficult.