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预防医学  2022, Vol. 34 Issue (5): 492-495,502    DOI: 10.19485/j.cnki.issn2096-5087.2022.05.014
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
衢州市60岁及以上肺结核病例特征分析
王敏1, 王炜2, 郝晓刚2, 卢美3, 方春福2, 刘魁4, 陈松华4
1.衢州市中心血站办公室,浙江 衢州 324000;
2.衢州市疾病预防控制中心,浙江 衢州 324000;
3.开化县疾病预防控制中心,浙江 开化 324300;
4.浙江省疾病预防控制中心,浙江 杭州 310051
Epidemiological characteristics of pulmonary tuberculosis patientsaged 60 years and older in Quzhou City
WANG Min1, WANG Wei2, HAO Xiaogang2, LU Mei3, FANG Chunfu2, LIU Kui4, CHEN Songhua4
1. Administration Office, Quzhou Blood Center, Quzhou, Zhejiang 324000, China;
2. Quzhou Center for Disease Control and Prevention, Quzhou, Zhejiang 324000, China;
3. Kaihua Center for Disease Control and Prevention, Kaihua, Zhejiang 324300, China;
4. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
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摘要 目的 分析浙江省衢州市≥60岁肺结核病例流行特征,为制定老年人群肺结核防制措施提供依据。方法 通过中国疾病预防控制信息系统结核病管理信息系统收集2010—2020年衢州市≥60岁肺结核病例资料,采用描述性流行病学方法分析≥60岁肺结核病例发病趋势、人群分布以及诊疗情况。结果 2010—2020年衢州市报告≥60岁肺结核病例8 754例,占病例总数的47.65%,呈上升趋势(χ2趋势=173.320,P<0.001);肺结核发病率呈下降趋势(χ2趋势=389.820,P<0.001),年均发病率为177.11/10万。菌阳肺结核4 307例,占菌阳病例总数的58.71%,呈上升趋势(χ2趋势=126.320,P<0.001);菌阳率呈下降趋势(χ2趋势=21.680,P<0.001),年均菌阳率为87.14/10万。男性发病率为256.94/10万,高于女性的91.43/10万(χ2=20.903,P<0.001)。80~<85岁发病率最高,为235.17/10万。职业以农民为主,7 171例占81.92%。衢州市户籍报告病例数最多,8 676例占99.11%。初治7 752例,占88.55%。就诊延误5 830例,就诊延误率呈上升趋势(χ2趋势=4.853,P=0.028),年均就诊延误率为66.60%。结论 2010—2020年衢州市≥60岁居民肺结核发病率呈下降趋势,应重点关注≥80岁老年人和农民。
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王敏
王炜
郝晓刚
卢美
方春福
刘魁
陈松华
关键词 肺结核老年人流行特征就诊延误    
AbstractObjective To analyze the epidemiological characteristics of pulmonary tuberculosis cases at ages of 60 years and older in Quzhou City, Zhejiang Province, so as to provide the evidence for formulating the pulmonary tuberculosis control strategy among the elderly. Methods The data pertaining to pulmonary tuberculosis cases at ages of 60 years and older in Quzhou City from 2010 to 2020 were collected through the Tuberculosis Management Information System of the China Disease Prevention and Control Information System. The trends for incidence, population distribution, diagnosis and treatment of pulmonary tuberculosis cases aged 60 years and older were analyzed using a descriptive epidemiological method. Results Totally 8 754 pulmonary tuberculosis cases aged 60 years and older were reported in Quzhou City from 2010 to 2020, accounting for 47.65% of all pulmonary tuberculosis cases, and the number of pulmonary tuberculosis appeared a tendency towards a rise ( χ2trend=173.320, P<0.001 ), while the incidence of pulmonary tuberculosis showed a tendency towards a decline ( χ2trend=389.820, P<0.001 ), with an annual decline rate of 177.11/105. There were 4 307 smear-positive pulmonary tuberculosis cases, accounting for 58.71% of all smear-positive cases, and the number of smear-positive pulmonary tuberculosis cases showed a tendency towards a rise ( χ2trend=126.320, P<0.001 ), while the proportion of smear-positive cases showed a tendency towards a decline ( χ2trend=21.680, P<0.001 ), with an annual smear-positive rate of 87.14/105. The incidence of pulmonary tuberculosis was 256.94/105 among males and 91.43/105 among females at ages of 60 years and older ( χ2=20.903, P<0.001 ). The highest incidence of pulmonary tuberculosis was seen in patients aged 80 to 84 years ( 235.17/105 ), and farmers were the predominant occupation ( 7 171 cases, 81.92% ), while the highest number of cases was reported in Quzhou City (8 676 cases, 99.11%). There were 7 752 treatment-naïve cases ( 88.55% ), while 5 830 cases with delay in seeking healthcare services, and the proportion of delay in seeking healthcare services showed a tendency towards a rise from 2010 to 2020 ( χ2trend=4.853, P=0.028 ), with an annual mean delay rate of was 66.60%. Conclusion The incidence of pulmonary tuberculosis appeared a tendency towards a decline among patients aged 60 years and older in Quzhou City from 2010 to 2020, and the elderly aged 80 years and older and farmers should be paid more attention.
Key wordspulmonary tuberculosis    elderly    epidemiological characteristics    delay in seeking healthcare services
收稿日期: 2021-11-22      修回日期: 2022-03-01     
中图分类号:  R521  
基金资助:浙江省卫生健康委项目(2021KY618); 衢州市科技计划项目(2021098)
通信作者: 陈松华,E-mail:shchen@cdc.zj.cn   
作者简介: 王敏,本科,副主任医师,主要从事健康教育与健康促进、疾病控制、采供血管理与检验检测工作
引用本文:   
王敏, 王炜, 郝晓刚, 卢美, 方春福, 刘魁, 陈松华. 衢州市60岁及以上肺结核病例特征分析[J]. 预防医学, 2022, 34(5): 492-495,502.
WANG Min, WANG Wei, HAO Xiaogang, LU Mei, FANG Chunfu, LIU Kui, CHEN Songhua. Epidemiological characteristics of pulmonary tuberculosis patientsaged 60 years and older in Quzhou City. Preventive Medicine, 2022, 34(5): 492-495,502.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.05.014      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I5/492
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