CAJ | 학술논문

目的：描述石台县肺结核病流行状况，探讨肺结核病的时空分布特征。方法肺结核病数据资料均来源于结核病管理信息系统，采用SPSS 20、SaTScan 9.3和ArcGIS 10.2软件进行数据分析。结果石台县2005~2014年报告肺结核病病例1297例，年平均患病率为127.82/10万，男性患病率高于女性，肺结核患病率随年龄增加呈上升趋势，75岁以上组患病率最高为339.37/10万。农民占总病例数的84.30%，患病无明显的季节变化，各乡镇的年平均患病率存在统计学差异，年平均患病率最高的乡镇为大演乡（167.56/10万）。时空聚集分析共检测到2个时空聚集区，其中一类聚集区为丁香镇、小河镇、仙寓镇、矶滩乡和大演乡。结论石台县肺结核病流行水平仍较高，时空上存在聚集，应该继续加强重点人群和重点地区防控工作。
목적：묘술석태현폐결핵병류행상황，탐토폐결핵병적시공분포특정。방법폐결핵병수거자료균래원우결핵병관리신식계통，채용SPSS 20、SaTScan 9.3화ArcGIS 10.2연건진행수거분석。결과석태현2005~2014년보고폐결핵병병례1297례，년평균환병솔위127.82/10만，남성환병솔고우녀성，폐결핵환병솔수년령증가정상승추세，75세이상조환병솔최고위339.37/10만。농민점총병례수적84.30%，환병무명현적계절변화，각향진적년평균환병솔존재통계학차이，년평균환병솔최고적향진위대연향（167.56/10만）。시공취집분석공검측도2개시공취집구，기중일류취집구위정향진、소하진、선우진、기탄향화대연향。결론석태현폐결핵병류행수평잉교고，시공상존재취집，응해계속가강중점인군화중점지구방공공작。
Objective To understand the spatial and temporal distribution of tuberculosis(TB) in Shitai County of Anhui Province, China. Methods Case data of TB were sourced from the disease surveillance infor?mation reporting system, and analyzed using software of SPSS(version 20), SaTScan(version 9.3) and ArcGIS (version 10.2). Results A total of 1 297 TB cases were reported from 2005 to 2014 in Shitai County. The annu?al average morbidity rate of TB was 127.82 cases in 100 000 population, and the prevalence was higher in male than female and increased with ages. Highest prevalence was found in population over 75 years(339.37 cases per 100 000 population), and farmers accounted for 84.30% of the total cases. TB prevalence was not associated with seasons, yet was differently distributed in towns and villages. The highest prevalence was in Dayan town (167.56 cases per 100 000 population). Temporal-spatial clustering analysis indicated two spatial and temporal clusters, in which one serious cluster was involved in Dingxiang, Xiaohe, Xianyu, Jitan and Dayan areas . Con?clusion The burden of TB appears still high in Shitai County, where indicates spatial and temporal distribu?tion. The findings suggest that TB prevention and control work must be targeted at the focus population and critical areas.