【摘要】： 目的：通過(guò)對(duì)2002-2009年旅順口區(qū)疾病預(yù)防控制中心結(jié)核門診確診登記的肺結(jié)核病例進(jìn)行流行病學(xué)描述分析,了解旅順口區(qū)肺結(jié)核流行特征,為有效制訂旅順口區(qū)肺結(jié)核的預(yù)防與控制策略和措施提供科學(xué)依據(jù)。 方法：根據(jù)大連市旅順口區(qū)疾病預(yù)防控制中心2002-2009年結(jié)核門診確診的肺結(jié)核患者登記及病案記錄資料,采用Excel2003軟件編制數(shù)據(jù)庫(kù),進(jìn)行數(shù)據(jù)錄入,采用SPSS13.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,計(jì)算構(gòu)成比、發(fā)病率,并采用卡方檢驗(yàn)進(jìn)行統(tǒng)計(jì)學(xué)分析。 結(jié)果：大連市旅順口區(qū)2002-2009年登記活動(dòng)性肺結(jié)核發(fā)病率變化不大,波動(dòng)在32.93/10萬(wàn)與58.86/10萬(wàn)之間,年均活動(dòng)性肺結(jié)核發(fā)病率為42.16/10萬(wàn)；涂陽(yáng)率在18.21/10萬(wàn)與26.79/10萬(wàn)之間波動(dòng),年均涂陽(yáng)率為22.12/10萬(wàn)。共登記896例活動(dòng)性肺結(jié)核,其中男性病例數(shù)明顯高于女性,占總病例66.74%,女性病例僅占總病例的33.26%,男女之比為2：1；發(fā)病以青壯年居多；其職業(yè)分布特征為：無(wú)業(yè)者占23.77%,農(nóng)民工占18.19%,排在第三的職業(yè)是農(nóng)民,占病例總數(shù)的11.27%。農(nóng)村肺結(jié)核病例高于城鎮(zhèn),占發(fā)病總數(shù)的58.93%；發(fā)病有一定的季節(jié)性特點(diǎn),表現(xiàn)為冬春季發(fā)病較多。 按戶籍特點(diǎn)不同,將研究對(duì)象分為本地人口和流動(dòng)人口,結(jié)果顯示：本地居民有634例新發(fā)活動(dòng)性肺結(jié)核,年均發(fā)病率為37.94/10萬(wàn),流動(dòng)人口有262例新發(fā)活動(dòng)性肺結(jié)核,年均發(fā)病率為57.71/10萬(wàn)；流動(dòng)人口年均發(fā)病率高于本地人口(χ2=33.112,P=0.000)。本地人口涂陽(yáng)肺結(jié)核共345例,年均涂陽(yáng)率為20.64/10萬(wàn),流動(dòng)人口涂陽(yáng)肺結(jié)核為125例,年均涂陽(yáng)率為27.53/10萬(wàn)；流動(dòng)人口年均涂陽(yáng)率高于本地人口(χ2=7.661,P=0.006)。本地居民肺結(jié)核病例以無(wú)業(yè)者為多,流動(dòng)人口肺結(jié)核61.07%為民工。 結(jié)論： 1.2002-2009年旅順口區(qū)肺結(jié)核發(fā)病率與涂陽(yáng)率比較穩(wěn)定,低于全國(guó)水平(發(fā)病率98/10萬(wàn),涂陽(yáng)率44/1O萬(wàn))。 2.旅順口區(qū)流動(dòng)人口肺結(jié)核發(fā)病率、涂陽(yáng)率均高于本地人口。 3.肺結(jié)核患者分布特點(diǎn)為：男性高于女性;農(nóng)村高于城鎮(zhèn)；青壯年是肺結(jié)核的高發(fā)人群。 4.農(nóng)民工是流動(dòng)人口中肺結(jié)核的高發(fā)人群。
[Abstract]:Objective: to investigate the epidemic characteristics of tuberculosis in Lushun Kou District by epidemiological description and analysis of tuberculosis cases confirmed and registered in TB clinic of the Centers for Disease Control and Prevention in Lushun District from 2002 to 2009. To provide scientific basis for the effective formulation of prevention and control strategies and measures of pulmonary tuberculosis in Lushun area. Methods: according to the data of tuberculosis patients registered and recorded by the Center for Disease Control and Prevention in Lushun District of Dalian from 2002 to 2009, the database was compiled with Excel2003 software, and the data was inputted into the database. The data were analyzed by SPSS13.0 software, the constitution ratio and incidence rate were calculated, and chi-square test was used for statistical analysis. Results: the incidence of registered active pulmonary tuberculosis in Lushun District of Dalian City from 2002 to 2009 had little change, fluctuating between 32.93 / 100 000 and 58.86 / 10 million, the annual incidence rate of active pulmonary tuberculosis was 42.16 / 100 000, and the smear positive rate fluctuated between 18.21% and 26.79% -100,000, with an average annual smear positive rate of 22.12% -100 000. A total of 896 cases of active pulmonary tuberculosis were registered, of which the number of male cases was significantly higher than that of females, accounting for 66.74% of the total cases, and the female cases only accounted for 33.26% of the total cases, and the ratio of male to female was 2: 1. The occupation distribution characteristics are as follows: the unemployed account for 23. 77%, the migrant workers for 18. 19. The third occupation is the farmer, accounting for 11. 27% of the total number of cases. The incidence of pulmonary tuberculosis in rural areas was higher than that in urban areas, accounting for 58.93% of the total incidence, and the incidence had seasonal characteristics, showing that there were more cases in winter and spring. According to the characteristics of household registration, the subjects were divided into local population and floating population. The results showed that there were 634 new cases of active tuberculosis among local residents, with an average annual incidence of 379,400 / 100 thousand, and 262 cases of newly active tuberculosis among the floating population. The annual incidence rate of floating population was 57.71 / 100 000, and the annual incidence of floating population was higher than that of local population (蠂 ~ 2 ~ 2 ~ (33.112) P ~ (+) 0.000). There were 345 cases of smear positive pulmonary tuberculosis in local population, with an annual smear positive rate of 20.64% / 100 000 and a floating population of 125 cases with an average annual smear positive rate of 27.53% / 100 000. The annual smear positive rate of floating population was higher than that of the local population (蠂 2 7.661% P 0.006). The number of tuberculosis cases among local residents was mostly unemployed, and 61.07% of the floating population were migrant workers. From 2002 to 2009, the incidence of pulmonary tuberculosis and smear positive rate in Lushun District were relatively stable, lower than the national level (incidence rate of 98 / 100, 000, smear positive rate of 44 / 10 million). 2. The incidence of pulmonary tuberculosis in the floating population in Lushun District was higher than that in the local population. 3. 3%. The distribution characteristic of tuberculosis patient is: male is higher than female; countryside is higher than town; young and adult are the high incidence of tuberculosis. 4. 4. Migrant workers are the high incidence of tuberculosis in the floating population.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R521;R181.3

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