广州市2009—2013年肺结核流行状况分析

发布时间：2018-02-23 23:08

  本文关键词： 肺结核 流行病学 广州市 预防和控制　出处：《广东医学》2014年21期 　论文类型：期刊论文

【摘要】：目的了解广州市肺结核疫情的流行特征并进行分析。方法采用回顾性调查研究方法,通过全国结核病信息管理系统收集广州市2009—2013年肺结核疫情资料,采用描述性统计分析方法进行分析。结果(1)2009—2013年广州市共发现登记肺结核患者58 209例,呈逐年下降趋势。(2)3—5月份为结核病发病高峰期。(3)老城区及流动人口密集地区发病率较高。(4)男性占68.2%(39 713/58 209),女性占31.8%(18 496/58 209),男女比例为2.1∶1,各年份男女性别构成的差异有统计学意义(醊2=10.216,P=0.037)。(5)发病年龄集中在30~44岁年龄段(占41.8%)。(6)户籍人口职业以家务及待业为主,流动人口职业以民工为主。(7)病型以继发性肺结核最常见,占99.2%。(8)就诊延误率较高,户籍人口和流动人口分别为53.9%和45.8%。(9)户籍人口和流动人口确诊延误率分别为19.6%和20.2%。(10)2月末、3月末痰菌阴转率、治愈率均达到广东省结核病控制项目所要求的85%和75%以上。结论广州市2009—2013年肺结核疫情控制取得一定的成效,青壮年人群、老城区、流动人口密集地区、降低就诊延误率是广州市今后结核病防治工作的重点。
[Abstract]:Objective to understand the epidemiological characteristics of pulmonary tuberculosis in Guangzhou city were analyzed. Methods a retrospective study from 2009 to 2013 in Guangzhou City tuberculosis epidemic data collected by the national tuberculosis management information system analysis method, using the descriptive statistical analysis. Results (1) in Guangzhou city from 2009 to 2013 were found in 58209 patients with pulmonary tuberculosis registration, decreased year by year. (2) of 3 May for TB incidence peak. (3) the old city and densely populated areas with high incidence (4). Men accounted for 68.2% (39 713/58 209), women accounted for 31.8% (18 496/58 209), male to female ratio was 2.1: 1, the difference was statistically significant the year of the genderconstitute (Zhui 2=10.216, P=0.037). (5) concentrated in the age of onset of 30~44 years of age (41.8%). (6) the household population in occupation housework and unemployment, the floating population to migrant workers occupation. (7) secondary to disease type The most common pulmonary tuberculosis, accounting for 99.2%. (8) delay rate is higher, the household population and the floating population were 53.9% and 45.8%. (9) registered and floating population delayed diagnosis rates were 19.6% and 20.2%. (10) at the end of 2, 3 at the end of the sputum negative conversion rate and the cure rate reached Guangdong province TB control project the requirements of 85% and 75%. Conclusion from 2009 to 2013 in Guangzhou City tuberculosis epidemic control and achieved some success, the old city of young people, and densely populated areas, reduce the rate of delay is the focus of Guangzhou city in the future prevention and treatment of tuberculosis.

【作者单位】： 广东省广州市胸科医院办公室;广东省广州市胸科医院;广州市结核病防治所;中山大学公共卫生学院;广东省广州市胸科医院结核病控制科;广东省广州市胸科医院结核病区;
【基金】：广州市科技计划项目(编号:2014Y2-00104) 广州市医药卫生科技一般引导项目(编号:20131A011075) 广州市胸科医院科研基金资助项目(编号:XK2013-011)
【分类号】：R181.3;R521
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本文编号：1527954