大连市旅顺口区2002-2009年肺结核流行特征分析
发布时间：2018-07-29 10:51
【摘要】： 目的：通过对2002-2009年旅顺口区疾病预防控制中心结核门诊确诊登记的肺结核病例进行流行病学描述分析,了解旅顺口区肺结核流行特征,为有效制订旅顺口区肺结核的预防与控制策略和措施提供科学依据。 方法：根据大连市旅顺口区疾病预防控制中心2002-2009年结核门诊确诊的肺结核患者登记及病案记录资料,采用Excel2003软件编制数据库,进行数据录入,采用SPSS13.0统计软件对数据进行统计分析,计算构成比、发病率,并采用卡方检验进行统计学分析。 结果：大连市旅顺口区2002-2009年登记活动性肺结核发病率变化不大,波动在32.93/10万与58.86/10万之间,年均活动性肺结核发病率为42.16/10万；涂阳率在18.21/10万与26.79/10万之间波动,年均涂阳率为22.12/10万。共登记896例活动性肺结核,其中男性病例数明显高于女性,占总病例66.74%,女性病例仅占总病例的33.26%,男女之比为2：1；发病以青壮年居多；其职业分布特征为：无业者占23.77%,农民工占18.19%,排在第三的职业是农民,占病例总数的11.27%。农村肺结核病例高于城镇,占发病总数的58.93%；发病有一定的季节性特点,表现为冬春季发病较多。 按户籍特点不同,将研究对象分为本地人口和流动人口,结果显示：本地居民有634例新发活动性肺结核,年均发病率为37.94/10万,流动人口有262例新发活动性肺结核,年均发病率为57.71/10万；流动人口年均发病率高于本地人口(χ2=33.112,P=0.000)。本地人口涂阳肺结核共345例,年均涂阳率为20.64/10万,流动人口涂阳肺结核为125例,年均涂阳率为27.53/10万；流动人口年均涂阳率高于本地人口(χ2=7.661,P=0.006)。本地居民肺结核病例以无业者为多,流动人口肺结核61.07%为民工。 结论： 1.2002-2009年旅顺口区肺结核发病率与涂阳率比较稳定,低于全国水平(发病率98/10万,涂阳率44/1O万)。 2.旅顺口区流动人口肺结核发病率、涂阳率均高于本地人口。 3.肺结核患者分布特点为：男性高于女性;农村高于城镇；青壮年是肺结核的高发人群。 4.农民工是流动人口中肺结核的高发人群。
[Abstract]:Objective: to investigate the epidemic characteristics of tuberculosis in Lushun Kou District by epidemiological description and analysis of tuberculosis cases confirmed and registered in TB clinic of the Centers for Disease Control and Prevention in Lushun District from 2002 to 2009. To provide scientific basis for the effective formulation of prevention and control strategies and measures of pulmonary tuberculosis in Lushun area. Methods: according to the data of tuberculosis patients registered and recorded by the Center for Disease Control and Prevention in Lushun District of Dalian from 2002 to 2009, the database was compiled with Excel2003 software, and the data was inputted into the database. The data were analyzed by SPSS13.0 software, the constitution ratio and incidence rate were calculated, and chi-square test was used for statistical analysis. Results: the incidence of registered active pulmonary tuberculosis in Lushun District of Dalian City from 2002 to 2009 had little change, fluctuating between 32.93 / 100 000 and 58.86 / 10 million, the annual incidence rate of active pulmonary tuberculosis was 42.16 / 100 000, and the smear positive rate fluctuated between 18.21% and 26.79% -100,000, with an average annual smear positive rate of 22.12% -100 000. A total of 896 cases of active pulmonary tuberculosis were registered, of which the number of male cases was significantly higher than that of females, accounting for 66.74% of the total cases, and the female cases only accounted for 33.26% of the total cases, and the ratio of male to female was 2: 1. The occupation distribution characteristics are as follows: the unemployed account for 23. 77%, the migrant workers for 18. 19. The third occupation is the farmer, accounting for 11. 27% of the total number of cases. The incidence of pulmonary tuberculosis in rural areas was higher than that in urban areas, accounting for 58.93% of the total incidence, and the incidence had seasonal characteristics, showing that there were more cases in winter and spring. According to the characteristics of household registration, the subjects were divided into local population and floating population. The results showed that there were 634 new cases of active tuberculosis among local residents, with an average annual incidence of 379,400 / 100 thousand, and 262 cases of newly active tuberculosis among the floating population. The annual incidence rate of floating population was 57.71 / 100 000, and the annual incidence of floating population was higher than that of local population (蠂 ~ 2 ~ 2 ~ (33.112) P ~ (+) 0.000). There were 345 cases of smear positive pulmonary tuberculosis in local population, with an annual smear positive rate of 20.64% / 100 000 and a floating population of 125 cases with an average annual smear positive rate of 27.53% / 100 000. The annual smear positive rate of floating population was higher than that of the local population (蠂 2 7.661% P 0.006). The number of tuberculosis cases among local residents was mostly unemployed, and 61.07% of the floating population were migrant workers. From 2002 to 2009, the incidence of pulmonary tuberculosis and smear positive rate in Lushun District were relatively stable, lower than the national level (incidence rate of 98 / 100, 000, smear positive rate of 44 / 10 million). 2. The incidence of pulmonary tuberculosis in the floating population in Lushun District was higher than that in the local population. 3. 3%. The distribution characteristic of tuberculosis patient is: male is higher than female; countryside is higher than town; young and adult are the high incidence of tuberculosis. 4. 4. Migrant workers are the high incidence of tuberculosis in the floating population.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R521;R181.3
本文编号：2152446
[Abstract]:Objective: to investigate the epidemic characteristics of tuberculosis in Lushun Kou District by epidemiological description and analysis of tuberculosis cases confirmed and registered in TB clinic of the Centers for Disease Control and Prevention in Lushun District from 2002 to 2009. To provide scientific basis for the effective formulation of prevention and control strategies and measures of pulmonary tuberculosis in Lushun area. Methods: according to the data of tuberculosis patients registered and recorded by the Center for Disease Control and Prevention in Lushun District of Dalian from 2002 to 2009, the database was compiled with Excel2003 software, and the data was inputted into the database. The data were analyzed by SPSS13.0 software, the constitution ratio and incidence rate were calculated, and chi-square test was used for statistical analysis. Results: the incidence of registered active pulmonary tuberculosis in Lushun District of Dalian City from 2002 to 2009 had little change, fluctuating between 32.93 / 100 000 and 58.86 / 10 million, the annual incidence rate of active pulmonary tuberculosis was 42.16 / 100 000, and the smear positive rate fluctuated between 18.21% and 26.79% -100,000, with an average annual smear positive rate of 22.12% -100 000. A total of 896 cases of active pulmonary tuberculosis were registered, of which the number of male cases was significantly higher than that of females, accounting for 66.74% of the total cases, and the female cases only accounted for 33.26% of the total cases, and the ratio of male to female was 2: 1. The occupation distribution characteristics are as follows: the unemployed account for 23. 77%, the migrant workers for 18. 19. The third occupation is the farmer, accounting for 11. 27% of the total number of cases. The incidence of pulmonary tuberculosis in rural areas was higher than that in urban areas, accounting for 58.93% of the total incidence, and the incidence had seasonal characteristics, showing that there were more cases in winter and spring. According to the characteristics of household registration, the subjects were divided into local population and floating population. The results showed that there were 634 new cases of active tuberculosis among local residents, with an average annual incidence of 379,400 / 100 thousand, and 262 cases of newly active tuberculosis among the floating population. The annual incidence rate of floating population was 57.71 / 100 000, and the annual incidence of floating population was higher than that of local population (蠂 ~ 2 ~ 2 ~ (33.112) P ~ (+) 0.000). There were 345 cases of smear positive pulmonary tuberculosis in local population, with an annual smear positive rate of 20.64% / 100 000 and a floating population of 125 cases with an average annual smear positive rate of 27.53% / 100 000. The annual smear positive rate of floating population was higher than that of the local population (蠂 2 7.661% P 0.006). The number of tuberculosis cases among local residents was mostly unemployed, and 61.07% of the floating population were migrant workers. From 2002 to 2009, the incidence of pulmonary tuberculosis and smear positive rate in Lushun District were relatively stable, lower than the national level (incidence rate of 98 / 100, 000, smear positive rate of 44 / 10 million). 2. The incidence of pulmonary tuberculosis in the floating population in Lushun District was higher than that in the local population. 3. 3%. The distribution characteristic of tuberculosis patient is: male is higher than female; countryside is higher than town; young and adult are the high incidence of tuberculosis. 4. 4. Migrant workers are the high incidence of tuberculosis in the floating population.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R521;R181.3
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