CAJ | 학술논문

[目的] 了解上海市黄浦区肺结核疫情的流行特征,评价防治工作的成效. [方法] 运用生态学研究方法对1990—2013年黄浦区肺结核流行特征和趋势进行分析. [结果] 1990—2013年,黄浦区肺结核的平均发病率为37.37/10万,发病总体呈逐渐下降趋势;平均死亡率为0.47/10万. 老年男性(65岁以上)人群的发病率较高. 病例中离退人员、工人、家务及待业者所占比例最高. [结论] 1990—2013年,肺结核防控的效果显著. 但大众的防控知识和意识欠缺、不规范治疗、耐药率高、流动人口众多等都对结核病防治带来挑战. 结核病患者的诊断、治疗、管理仍需完善.
[목적] 료해상해시황포구폐결핵역정적류행특정,평개방치공작적성효. [방법] 운용생태학연구방법대1990—2013년황포구폐결핵류행특정화추세진행분석. [결과] 1990—2013년,황포구폐결핵적평균발병솔위37.37/10만,발병총체정축점하강추세;평균사망솔위0.47/10만. 노년남성(65세이상)인군적발병솔교고. 병례중리퇴인원、공인、가무급대업자소점비례최고. [결론] 1990—2013년,폐결핵방공적효과현저. 단대음적방공지식화의식흠결、불규범치료、내약솔고、류동인구음다등도대결핵병방치대래도전. 결핵병환자적진단、치료、관리잉수완선.
[Objective] To investigate epidemic characteristics of tuberculosis (TB) in Huangpu District of Shanghai, and evaluate the effects of its prevention and control. [ Methods] Ecology research method was used to analyze epidemic characteristics of TB from 1990 to 2013 in Huangpu District. [Results] In 1990-2013, the average incidence rate of TB was 37.37/105, showing a trend of gradual decline as a whole and the average death rate was 0.47/105 .The incidence rate in elderly males aged over 65 was the highest.Those with the highest morbidity were accordingly retirees, workers, housekeeping and the unemployed. [ Conclusion] The overall effect of control of TB was obvious in Huangpu District from 1990 to 2013.While public's lack of knowledge and awareness, non-standard cure, high rate of drug resistance and large numbers of floating population posed challenge for prevention and control.TB cure and control still need to be improved.