云南省2002-2011年肺结核流行特征分析

发布时间：2018-06-04 13:45

本文选题：肺结核 + 流行特征　；参考：《现代预防医学》2014年06期

【摘要】：目的探讨云南省结核病流行特征,为制定结核病防治对策和开展防治工作提供科学依据。方法对云南省2002-2011年肺结核报告资料进行描述性流行病学特征分析。结果 2002-2011年共报告肺结核病例251 997例,死亡病例1 135例,年平均报告发病率为56.81/10万,年平均报告死亡率为0.26/10万,总病死率为0.45%。男性患病人数是女性的1.9倍,发病年龄以20~44岁年龄组较高,发病人数占总发病人数的44.73%。0~14岁组肺结核发病率为16.21/10万,15~59岁组肺结核发病率为62.36/10万,60岁以上组发病率为122.27/10万,职业分布以农民为主,发病数占全部病例的67.26%,学生及散居儿童比例逐年降低。16州市均有发病,但各州市发病数及发病率存在较大差异。没有明显季节性,每月均有发病。结论 2002-2004年发病呈现缓慢上升趋势,2005年达到高峰,2006-2011年呈现缓慢下降趋势。0~14岁组肺结核发病率的降低说明我省结核病防治工作取得一定的成效;老年组发病率较高,所以应针对老年人患病特点,制定针对性的发现和控制措施;青壮年患者比重较大,青壮年人群仍然是我省结核病防治工作的重点。人口密度较大、少数民族比例较高以及疫情呈上升趋势的州市是未来结核病防控重点。
[Abstract]:Objective to explore the epidemiological characteristics of tuberculosis in Yunnan Province, and to provide scientific basis for the formulation of tuberculosis prevention and control strategies and prevention and control work. Methods the epidemiological characteristics of tuberculosis in Yunnan Province from 2002 to 2011 were analyzed. Results A total of 251,997 tuberculosis cases and 1,135 death cases were reported from 2002 to 2011. The average annual reported incidence rate was 56.81% / 100 000, the average annual reported mortality rate was 0.26.1 million, and the total mortality rate was 0.45%. The number of male patients was 1.9 times higher than that of women, and the age group of 20 to 44 years old was higher than that of women. The incidence rate of pulmonary tuberculosis in 14 years old group was 16.21% -100 000 years old, and the incidence of pulmonary tuberculosis in 1559 years old group was 62.36% -100 000 years old and over 60 years old, and the incidence rate was 122.2710 million. The occupational distribution was dominated by farmers, the incidence of which accounted for 67.26% of the total cases. The proportion of students and scattered children decreased year by year in the city of .16, but there were great differences in the number of cases and the incidence of the disease in each city. There is no obvious seasonality and the disease occurs every month. Conclusion from 2002 to 2004, the incidence of tuberculosis increased slowly, reached its peak in 2005 and showed a slow downward trend from 2006 to 2011. The decrease of pulmonary tuberculosis incidence in 14 years old group indicates that the tuberculosis prevention and control work in our province has achieved certain results, and the incidence rate in the elderly group is higher. Therefore, it is necessary to make targeted detection and control measures according to the disease characteristics of the elderly; the proportion of young and middle-aged patients is large, and the young and middle-aged people are still the focus of tuberculosis prevention and control in our province. The city with a large population density, a high proportion of ethnic minorities and an increasing epidemic situation will be the focus of tuberculosis prevention and control in the future.
【作者单位】：云南省疾病预防控制中心结核病防治中心;
【分类号】：R181.8

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