CAJ | 학술논문

目的了解十堰市2001-2010年结核病疫情的流行特征,为制订预防控制措施提供科学依据.方法收集十堰市2001-2010年结核病季度和年度报表及相关资料进行分析.结果十堰市2001-2010年共发现活动性结核病例25 357例,年均患病率73.59/10万.新发涂阳病例16 062例,年均患病率46.61/10万；涂阴病例6853例,年均涂阴患病率19.89/10万.10年间,十堰市活动性结核患病率波动范围(55.27～90.36)/10万,自2004年开始增长明显.新发涂阳患病率波动范围(40.68～57.50)/10万；涂阴患病率波动范围(5.64～35.93)/10万,自2006年开始显著增长.十堰市辖5县1市均有发病.新发涂阳患者中,78.62％(12 628例)年龄在15～45岁；48.50％(7791例)为农民.男女性别比为2.31∶1.结论结核涂阴患病率的显著增长是十堰市2006年以来结核病患病率增长的主要因素.青壮年农民是发病的主要人群,男性高于女性.
목적 료해십언시2001-2010년결핵병역정적류행특정,위제정예방공제조시제공과학의거.방법 수집십언시2001-2010년결핵병계도화년도보표급상관자료진행분석.결과 십언시2001-2010년공발현활동성결핵병례25 357례,년균환병솔73.59/10만.신발도양병례16 062례,년균환병솔46.61/10만；도음병례6853례,년균도음환병솔19.89/10만.10년간,십언시활동성결핵환병솔파동범위(55.27～90.36)/10만,자2004년개시증장명현.신발도양환병솔파동범위(40.68～57.50)/10만；도음환병솔파동범위(5.64～35.93)/10만,자2006년개시현저증장.십언시할5현1시균유발병.신발도양환자중,78.62％(12 628례)년령재15～45세；48.50％(7791례)위농민.남녀성별비위2.31∶1.결론 결핵도음환병솔적현저증장시십언시2006년이래결핵병환병솔증장적주요인소.청장년농민시발병적주요인군,남성고우녀성.
Objective To understand the epidemic situation of tuberculosis in Shiyan from 2001 to 2010,and provide scientific basis for formulating prevention and control measures.Methods The annual and quarter report of tuberculosis and related data in Shiyan from 2001 to 2010 were analyzed.Results From 2001 to 2010,25 357 active tuberculosis cases were found in Shiyan,and the annual prevalence rate was 73.59/100 000.There were 16 062 new found sputum smear positive cases,the average prevalence rate was 46.61/100 000.There were 6853 cases sputum smear negative cases,and the annual prevalence was 19.89/100 000.During the 10 years from 2001 to 2010,the prevalence rates of active tuberculosis fluctuated from 55.27/100 000 to 90.36/100 000,and began to increase from 2004; the rates of new found smear positive tuberculosis fluctuated from 40.68/100 000 to 57.50/100 000.The rate of smear negative tuberculosis fluetuated from 5.64/100 000 to 35.93 /100 000,and began to grow from 2006.The epidemic was seen in all the five counties and one city in Shiyan.In new found smear positive cases,12 628 cases (78.62％) aged between 15 and 45; 7791 cases (48.50％) were farmers,and the male to female ratio was 2.31∶1.Conclusions The significant increasing of sputum smear negative tuberculosis reported is the main factor for the growth of active tuberculosis prevalence rate in Shiyan city since 2006.The young farmers are the main group,and the prevalence rate in male is higher than female.