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预防医学  2019, Vol. 31 Issue (3): 242-245    DOI: 10.19485/j.cnki.issn2096-5087.2019.03.006
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温州市耐多药/耐利福平肺结核空间聚集性分析
单志力, 李君, 逄颖鑫, 毛玲琼, 朱小梅
温州市疾病预防控制中心,浙江 温州 325000
Analysis on the spatial clustering of multidrug resistant or rifampicin resistant pulmonary tuberculosis in Wenzhou
SHAN Zhi-li, LI Jun, PANG Ying-xin, MAO Ling-qiong, ZHU Xiao-mei
Wenzhou Center for Disease Control and Prevention,Wenzhou,Zhejiang 325000,China
全文: PDF(650 KB)  
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摘要 目的 了解2014—2017年温州市耐多药/耐利福平肺结核发病的空间分布特征,为防治耐多药/耐利福平肺结核提供依据。方法 从中国疾病预防控制信息系统的结核病管理信息系统导出2014—2017年温州市耐多药/耐利福平肺结核病例资料,并与温州勘察测绘研究院地理信息数据库关联,采用ArcGIS 10.1软件全局空间自相关分析温州市耐多药/耐利福平肺结核空间聚集现象,再采用SaTScan 9.3软件分析温州市耐多药/耐利福平肺结核区域聚集性。结果 2014—2017年温州市共报告耐多药/耐利福平肺结核452例,总登记率为4.74/10万,各地区分布不均匀,登记率较高(7.45/10万以上)的地区集中在永嘉县中北部、乐清市中南部和文成县中东部。全局空间自相关分析结果提示,2014—2017年温州市耐多药/耐利福平肺结核总登记率存在空间聚集性(Moran's I=0.321,Z=7.352,P<0.001)。空间扫描分析发现永嘉县东南部和乐清市南部的20个乡镇/街道为一级聚集区域(RR=2.213,LLR=22.353,P<0.001),鹿城区的仰义街道和双屿街道为二级聚集区域(RR=2.488,LLR=9.889,P=0.004)。结论 2014—2017年温州市耐多药/耐利福平肺结核发病存在空间聚集性,高发区域在永嘉县东南部、乐清市南部、鹿城区仰义街道和双屿街道。
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单志力
李君
逄颖鑫
毛玲琼
朱小梅
关键词 肺结核耐多药肺结核空间聚集地理信息系统    
AbstractObjective To understand the spatial distribution of multidrug resistant/rifampicin resistant pulmonary tuberculosis(MDR/RR PTB)in Wenzhou from 2014 to 2017,and to provide the scientific basis for MDR/RR TB control and prevention.Methods The data of MDR/RR PTB cases in Wenzhou from 2014 to 2017 were collected from the Tuberculosis Management Information System of the Chinese Disease Prevention and Control Information System,and was associated with the geographic information database of Wenzhou Survey and Mapping Research Institute. The global spatial autocorrelation analysis was carried out by ArcGIS 10.1 to determine if there was spatial clustering of MDR/RR PTB cases in Wenzhou. The specific clustering areas of the MDR/RR PTB in Wenzhou was analyzed by SaTScan 9.3 and presented by ArcGIS.Results There were 452 MDR/RR PTB cases reported in Wenzhou from 2014 to 2017,with a total registration rate of 4.74/100 000. The incidence rate of MDR/RR PTB in Wenzhou was unevenly distributed;the areas with registration rates of more than 7.45/100 000 were the north-central parts of Yongjia,the south-central parts of Yueqing and the east-central parts of Wencheng. The results of global spatial autocorrelation analysis showed that there were obvious clustering for MDR/RR PTB in Wenzhou(Moran's I=0.321,Z=7.352,P<0.001). The spatial scanning found two clusters:20 towns/streets in the southeastern part of Yongjia and the south of Yueqing were the primary clustering areas(RR=2.213,LLR=22.353,P<0.001);Yangyi Street and Shuangyu Street in Lucheng were the secondary clustering areas(RR=2.488,LLR=9.889,P=0.004).Conclusion The MDR/RR PTB cases reported from 2014 to 2017 in Wenzhou had spatial clustering. The high-incidence areas were in the southeast of Yongjia,south of Yueqing,Yangyi Street and Shuangyu Street of Lucheng.
Key wordsTuberculosis    Multidrug resistant tuberculosis    Spatial clustering    Geographic Information System
收稿日期: 2018-11-16      出版日期: 2019-03-04
ZTFLH:  R195.4  
  R521  
通信作者: 单志力,E-mail:zhili0245@163.com   
作者简介: 单志力,本科,主治医师,主要从事结核病防制工作
引用本文:   
单志力, 李君, 逄颖鑫, 毛玲琼, 朱小梅. 温州市耐多药/耐利福平肺结核空间聚集性分析[J]. 预防医学, 2019, 31(3): 242-245.
SHAN Zhi-li, LI Jun, PANG Ying-xin, MAO Ling-qiong, ZHU Xiao-mei. Analysis on the spatial clustering of multidrug resistant or rifampicin resistant pulmonary tuberculosis in Wenzhou. Preventive Medicine, 2019, 31(3): 242-245.
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