發(fā)布時(shí)間：2018-02-23 23:08

  本文關(guān)鍵詞： 肺結(jié)核 流行病學(xué) 廣州市 預(yù)防和控制　出處：《廣東醫(yī)學(xué)》2014年21期 　論文類型：期刊論文

【摘要】：目的了解廣州市肺結(jié)核疫情的流行特征并進(jìn)行分析。方法采用回顧性調(diào)查研究方法,通過全國(guó)結(jié)核病信息管理系統(tǒng)收集廣州市2009—2013年肺結(jié)核疫情資料,采用描述性統(tǒng)計(jì)分析方法進(jìn)行分析。結(jié)果(1)2009—2013年廣州市共發(fā)現(xiàn)登記肺結(jié)核患者58 209例,呈逐年下降趨勢(shì)。(2)3—5月份為結(jié)核病發(fā)病高峰期。(3)老城區(qū)及流動(dòng)人口密集地區(qū)發(fā)病率較高。(4)男性占68.2%(39 713/58 209),女性占31.8%(18 496/58 209),男女比例為2.1∶1,各年份男女性別構(gòu)成的差異有統(tǒng)計(jì)學(xué)意義(醊2=10.216,P=0.037)。(5)發(fā)病年齡集中在30~44歲年齡段(占41.8%)。(6)戶籍人口職業(yè)以家務(wù)及待業(yè)為主,流動(dòng)人口職業(yè)以民工為主。(7)病型以繼發(fā)性肺結(jié)核最常見,占99.2%。(8)就診延誤率較高,戶籍人口和流動(dòng)人口分別為53.9%和45.8%。(9)戶籍人口和流動(dòng)人口確診延誤率分別為19.6%和20.2%。(10)2月末、3月末痰菌陰轉(zhuǎn)率、治愈率均達(dá)到廣東省結(jié)核病控制項(xiàng)目所要求的85%和75%以上。結(jié)論廣州市2009—2013年肺結(jié)核疫情控制取得一定的成效,青壯年人群、老城區(qū)、流動(dòng)人口密集地區(qū)、降低就診延誤率是廣州市今后結(jié)核病防治工作的重點(diǎn)。
[Abstract]:Objective to understand the epidemiological characteristics of pulmonary tuberculosis in Guangzhou city were analyzed. Methods a retrospective study from 2009 to 2013 in Guangzhou City tuberculosis epidemic data collected by the national tuberculosis management information system analysis method, using the descriptive statistical analysis. Results (1) in Guangzhou city from 2009 to 2013 were found in 58209 patients with pulmonary tuberculosis registration, decreased year by year. (2) of 3 May for TB incidence peak. (3) the old city and densely populated areas with high incidence (4). Men accounted for 68.2% (39 713/58 209), women accounted for 31.8% (18 496/58 209), male to female ratio was 2.1: 1, the difference was statistically significant the year of the genderconstitute (Zhui 2=10.216, P=0.037). (5) concentrated in the age of onset of 30~44 years of age (41.8%). (6) the household population in occupation housework and unemployment, the floating population to migrant workers occupation. (7) secondary to disease type The most common pulmonary tuberculosis, accounting for 99.2%. (8) delay rate is higher, the household population and the floating population were 53.9% and 45.8%. (9) registered and floating population delayed diagnosis rates were 19.6% and 20.2%. (10) at the end of 2, 3 at the end of the sputum negative conversion rate and the cure rate reached Guangdong province TB control project the requirements of 85% and 75%. Conclusion from 2009 to 2013 in Guangzhou City tuberculosis epidemic control and achieved some success, the old city of young people, and densely populated areas, reduce the rate of delay is the focus of Guangzhou city in the future prevention and treatment of tuberculosis.

【作者單位】： 廣東省廣州市胸科醫(yī)院辦公室;廣東省廣州市胸科醫(yī)院;廣州市結(jié)核病防治所;中山大學(xué)公共衛(wèi)生學(xué)院;廣東省廣州市胸科醫(yī)院結(jié)核病控制科;廣東省廣州市胸科醫(yī)院結(jié)核病區(qū);
【基金】：廣州市科技計(jì)劃項(xiàng)目(編號(hào):2014Y2-00104) 廣州市醫(yī)藥衛(wèi)生科技一般引導(dǎo)項(xiàng)目(編號(hào):20131A011075) 廣州市胸科醫(yī)院科研基金資助項(xiàng)目(編號(hào):XK2013-011)
【分類號(hào)】：R181.3;R521
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本文編號(hào)：1527954