摘要
目的研究分析北京某市级定点医疗机构肺结核患者流行病学特征,为北京结核病防控工作提供依据。方法采用描述性方法,对2011-2020年北京某市级定点医疗机构肺结核患者资料进行分析。结果2011-2020年,北京某市级定点医疗机构(北京结核病控制研究所)登记管理肺结核患者共计2904例。男性1765例,女性1139例,男女性别比为1.55∶1。18~44岁组比例最高,达60.06%。干部职员、离退人员、家务及待业人员居前3位,分别占24.97%、22.87%和21.97%。初治患者占89.39%,复治患者占10.61%。发现方式以转诊为主,占57.92%。病原学阳性率从2011年的30.13%上升至2020年的50.21%。就诊延迟率为48.76%,确诊延迟率为30.68%,就诊时间中位数为14 d,确诊时间中位数为7 d。结论应加强干部职员、离退人员、家务及待业人员这三类人群的结核病监测与宣教,尤其是男性、青壮年人口,大力推广普及实验室诊断新技术,提高病原学阳性率,进一步减少疾病发现和诊断的延迟。
Objective To study and analyze the epidemiological characteristics of tuberculosis patients in a municipal designated medical institution in Beijing,and to provide a basis information for tuberculosis prevention and control in Beijing.Methods A descriptive method was used to analyze the data of tuberculosis patients in a municipal designated medical institution of Beijing(Beijing Center for Tuberculosis Research and Control)from 2011 to 2020.Results From 2011 to 2020,a total of 2904 tuberculosis cases were registered and managed in Beijing Center for Tuberculosis Research and Control.With 1765 males and 1139 females,male vs.female=1.55∶1.The highest proportion was 60.06%in the 18-44 age group.Cadres staff,retired personnel,household chores and unemployed persons ranked the top three,with the proportion of 24.97%,22.87%and 21.97%respectively.89.39%of the patients were initially treated,and 10.61%of the patients were re-treated.The main detection method was referral,accounting for 57.92%.The etiology positive rate increased from 30.13%in 2011 to 50.21%in 2020.The rate of patient delay was 48.76%,the rate of doctor delay was 30.68%,the median time of visiting was 14 days,and the median time of diagnosis was 7 days.Conclusions It is necessary to strengthen the monitoring and education of tuberculosis among cadres and staff,retirees,domestic workers and unemployed people,especially among men and young adults,popularize new laboratory diagnosis techniques,improve the positive rate of etiology,and further reduce the detection and diagnosis delay of disease.
作者
徐静
贺晓新
周虹九
罗萍
XU Jing;HE Xiao-xin;ZHOU Hong-jiu;LUO Ping(Beijing Center for Disease Prevention and Control/Beijing Center for Tuberculosis Research and Control,Beijing 100013,China)
出处
《首都公共卫生》
2022年第3期138-141,共4页
Capital Journal of Public Health
关键词
结核
肺
登记管理患者
流行病学特征
北京市
Tuberculosis,pulmonary
Registration and management of patients
Epidemiological characteristics
Beijing
作者简介
通信作者:罗萍,E-mail:pluo12@126.com。
