CAJ | 학술논문

[目的]分析西双版纳州2004-2013年肺结核发病水平及流行特点，为控制结核病传播提供科学依据。[方法]对2004-2013年西双版纳州网络直报的肺结核疫情资料进行统计和分析。[结果]2004-2013年西双版纳州共报告肺结核病例7810例，死亡44例，年均报告发病率为73.54／10万。2004-2006年报告的病例数逐年上升，发病率最高的是2006年（89.47/10万），2007年后发病率呈逐年下降趋势，2003年发病率最低（60.05/10万）；每年各月均有病例报告，总体分布无明显的季节性和周期性；各肺结核发病以青壮年组（15～49岁）例数最多，儿童组（0～14岁）最少；男性发病数明显多于女性；农民病例数为4323例，占报告发病总数的55.35％；发病地区分布不均衡，年平均报告率以景洪市最高（92.36／10万），勐海县最低（56.32／10万）。[结论]西双版纳州推行现代结核病控制策略，加强了DOTS 管理措施，肺结核疫情得到了有效遏制。但肺结核病发病率在全州法定报告乙类传染病中仍居第二位，应继续加强肺结核防治工作的投入和管理。
[목적]분석서쌍판납주2004-2013년폐결핵발병수평급류행특점，위공제결핵병전파제공과학의거。[방법]대2004-2013년서쌍판납주망락직보적폐결핵역정자료진행통계화분석。[결과]2004-2013년서쌍판납주공보고폐결핵병례7810례，사망44례，년균보고발병솔위73.54／10만。2004-2006년보고적병례수축년상승，발병솔최고적시2006년（89.47/10만），2007년후발병솔정축년하강추세，2003년발병솔최저（60.05/10만）；매년각월균유병례보고，총체분포무명현적계절성화주기성；각폐결핵발병이청장년조（15～49세）례수최다，인동조（0～14세）최소；남성발병수명현다우녀성；농민병례수위4323례，점보고발병총수적55.35％；발병지구분포불균형，년평균보고솔이경홍시최고（92.36／10만），맹해현최저（56.32／10만）。[결론]서쌍판납주추행현대결핵병공제책략，가강료DOTS 관리조시，폐결핵역정득도료유효알제。단폐결핵병발병솔재전주법정보고을류전염병중잉거제이위，응계속가강폐결핵방치공작적투입화관리。
Objective Analyzed the morbidity level and prevalent features of tuberculosis in Xishuangbanna from 2004 to 2013 so as to provide scientific basis for controlling tuberculosis spread.Methods Statisticed and analyzed tuberculosis epidemic situation data from network report in period of 2004 to 2013 in Xishuangbanna. Results From 2004 to 2013,7810 cases of tuberculosis were registered, 44 were deaths ,and the annual reported rate of tuberculosis was 73.54/100 000. The case load was rising during 2004 to 2006 year by year, incidence peaks was in 2006(89.47/100000). The morbidity was in decline tendency after 2007, the lowest incidence was 60.05/100 000 in 2003. The cases were reported in each month of every year, and there was no significant seasonal and periodicity of the overall distribution. The highest morbidity was in young group (15-49 years old), children group (0-4 years old) was least, male was higher than women, farmers were 4323 cases(55.35%). The regional distribution was unbalance. The annual mean reports rate in Jinghong was the highest(92.36/100,000), the lowest was 56.32 / 100 000 in Menghai county. Conclusions The new techniques in control of tuberculosis was adopted to reduce the incidence of tuberculosis in xishuangbanna, especially improve DOTS management measure. Tuberculosis epidemic situation was controlled effectively, but the incidence of tuberculosis continued to hold the second place in legal report B infectious diseases in xishuangbanna. It should continue to increase input and management to tuberculosis prevention and treatment measures.