2016—2021年台州市肺结核流行特征分析

doi:10.19485/j.cnki.issn2096-5087.2022.11.014

预防医学

2022, Vol. 34

Issue (11): 1150-1155 DOI: 10.19485/j.cnki.issn2096-5087.2022.11.014

疾病控制

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2016—2021年台州市肺结核流行特征分析

杨利, 常玥, 林海江

台州市疾病预防控制中心结核病防制科,浙江台州 318000

Epidemiological characteristics of pulmonary tuberculosis in Taizhou City from 2016 to 2021

YANG Li, CHANG Yue, LIN Haijiang

Department of Tuberculosis Control and Prevention, Taizhou Center for Disease Control and Prevention, Taizhou, Zhejiang 318000, China

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摘要目的了解2016—2021年浙江省台州市肺结核流行特征,为制定肺结核防控措施提供依据。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和传染病监测系统收集2016—2021年台州市肺结核病例资料,采用描述性流行病学方法分析2016—2021年台州市肺结核发病趋势、地区分布、人群特征和季节分布。结果 2016—2021年台州市累计报告肺结核病例15 621例,年均报告发病率为42.12/10万。肺结核报告发病率从2016年的43.74/10万下降至2021年的36.31/10万,年递降率为3.65%（χ²_趋势=34.172,P<0.001）。病原学阳性病例7 606例,占48.69%,2016—2021年病原学阳性比例呈上升趋势（χ²_趋势=470.906,P<0.001）。男性和女性年均报告发病率分别为57.83/10万和25.46/10万。20~<25岁和≥65岁报告发病率较高,分别为72.80/10万和84.75/10万。职业以农民为主,8 365例占53.55%。3—8月为报告旺季,其中5月季节比率最大,为119.76%。2016—2021年仙居县和温岭市肺结核年均报告发病率较高,分别为52.51/10万和49.98/10万;三门县和路桥区病原学阳性比例较高,分别为58.71%和53.24%。结论 2016—2021年台州市肺结核报告发病率呈下降趋势,病原学阳性比例显著升高,春夏季为高发季节,仙居县、温岭市报告发病率仍处于较高水平。

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	杨利
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关键词 ：肺结核, 流行特征, 发病率, 趋势

Abstract：Objective To investigate the epidemiological characteristics of pulmonary tuberculosis in Taizhou City from 2016 to 2021, so as to provide the evidence for formulating the pulmonary tuberculosis control measures. Methods The epidemiological data of pulmonary tuberculosis cases in Taizhou City from 2016 to 2021 were retrieved from the Tuberculosis Management Information System and Infectious Disease Surveillance System of Chinese Disease Prevention and Control Information System, and the trends in the incidence of pulmonary tuberculosis and regional, population and temporal distributions of pulmonary tuberculosis were analyzed using a descriptive epidemiological method in Taizhou City from 2016 to 2021. Results A total of 15 621 pulmonary tuberculosis cases were reported in Taizhou City from 2016 to 2021, with annual mean reported incidence of 42.12/10⁵. The incidence of reported pulmonary tuberculosis reduced from 43.74/10⁵ in 2016 to 36.31/10⁵ in 2021, with an annual decline rate of 3.65% (χ²_trend=34.172, P<0.001). There were 7 606 cases positive for pathogenic tests (48.69%), and the positive rate of pathogenic tests appeared a tendency towards a rise from 2016 to 2021 (χ²_trend=470.906, P<0.001). The reported incidence rates of pulmonary tuberculosis were 57.83/10⁵ and 25.46/10⁵in men and women, and a high incidence rate was reported in patients at ages of 20 to <25 years (72.80/10⁵) and 65 years and older (84.75/10⁵). Farmer was the predominant type of occupation (8 365 cases, 53.55%), and the cases peaked from March to August, with the greatest seasonal index in May (119.76%). A high annual incidence rate of pulmonary tuberculosis was reported in Xianju County (52.51/10⁵) and Wenling City (49.98/10⁵) from 2016 to 2021, and the a high constituent ratio of patients positive for pathogenic tests was seen in Sanmen County (58.71%) and Luqiao District (53.24%). Conclusions The reported incidence of pulmonary tuberculosis showed a tendency towards a decline, and the proportion of pulmonary tuberculosis patients positive for pathogenic tests showed a remarkable increase in Taizhou City from 2016 to 2021. The number of patients peaked in spring and summer. In addition, high incidence of pulmonary tuberculosis was seen in Xianju County and Wenling City.

Key words： pulmonary tuberculosis epidemiological characteristics incidence trend

收稿日期: 2022-07-20 修回日期: 2022-09-20 出版日期: 2022-11-10

中图分类号:

R521

作者简介: 杨利,硕士,医师,主要从事结核病预防与控制工作

通信作者: 林海江,E-mail：84800166@qq.com

引用本文:

杨利, 常玥, 林海江. 2016—2021年台州市肺结核流行特征分析[J]. 预防医学, 2022, 34(11): 1150-1155.
YANG Li, CHANG Yue, LIN Haijiang. Epidemiological characteristics of pulmonary tuberculosis in Taizhou City from 2016 to 2021. Preventive Medicine, 2022, 34(11): 1150-1155.

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