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251997例，死亡病例1135例，年平均报告发病率为56．81／10万，年平均报告死亡率为O．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。
Objective This study was to analyze the epidemic characteristics of tuberculosis （TB） in Yunnan province, and provide scientific evidences for TB control and prevention. Methods Data of TB patients in Yunnan province dring 2002-2011were de- scriptively analyzed. Results From 2002 to 2011, a total of 251997 pulmonary tuberculosis cases were reported, and the number of death cases was 1135. The average annual TB incidence is 56.81/100 000. The average annual mortality is 0.26/ 100 000. The overall mortality is 0.45%. The number of male patients is 1.9-fold of female. For age distribution and the incidence for patients aged between 20 and 44 was the highest, accounting for 44.73% of all TB patients. TB incidence was 16.21/100 000 for age 0-14, 62.36/100 000 for age 15-60 and 122.27/100 000 for people over 60. Farmers were the majority （67.26%）, and the incidence of students and scattered children decreased year by year. TB occurs in 16 cities, but with a great difference in incidence and morbidi- ty. TB occurs monthly but without significant seasonal pattern. Conclusion The incidence slowly ascended from 2002 to 2004, reached a peak in 2005, and descended slowly from 2006 to 2010. The reduction in the incidence of 0-14 age group indicates that our province has made progress in TB control and prevention. Incidence of aged group is higher, so pertinent measures should be taken to detect and control TB in aged patients according to their characteristics. Young adults account for the majority, suggesting that they are still the focus of TB control and prevention in our province. Cities with high population density, high proportion of eth- nic minorities and ascending epidemic trend will be the key areas of TB control in future.
出处
《现代预防医学》
CAS
北大核心
2014年第6期975-977,共3页
Modern Preventive Medicine
关键词
肺结核
流行特征
防控重点
Tuberculosis
Epidemiological characteristics
Focus of prevention and control
作者简介
邱玉冰（1979-），女，本科，主管医师，研究方向：结核病防治
通讯作者：许琳，E-mail：123316859@qq．com
