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目的为了解福建省老年人活动性肺结核流行趋势,为制定防控措施提供依据。方法对2008~2013年6年间结核病管理信息系统登记的年龄65岁以上的病例资料进行统计,采用描述性流行病学方法进行分析。结果福建省2008~2013年老年人活动性肺结核登记率为112.12/10万,2008年最高(138.87/10万),2013年最低(88.60/10万)(P<0.01),呈现明显下降趋势;男女比例为4.16,发病高峰在70~74岁组;老年人活动性肺结核患者的主要职业为农民,占71.04%;登记率漳州最高,为170.17/10万,其后依次为莆田、福州、泉州、龙岩、三明、宁德、南平和厦门,各地市间登记率差异有统计学意义(P<0.01);患者登记无季节性集中趋势(M=0.26,M<0.3)。结论 2008~2013年福建省老年人活动性肺结核登记率较高,呈逐年下降趋势,男性明显高于女性,患者中农民比重最大;患者登记无季节性集中趋势。
Objective To understand the epidemic trend of active pulmonary tuberculosis among the elderly in Fujian Province and provide evidence for the development of prevention and control measures. Methods The data of cases older than 65 years old registered in the tuberculosis management information system during the six years from 2008 to 2013 were collected and analyzed by descriptive epidemiological method. Results The registration rate of active pulmonary tuberculosis among the elderly in Fujian Province during the period from 2008 to 2013 was 112.12 / 100000, highest in 2008 (138.87 / 100000) and lowest in 2013 (88.60 / 100000) (P <0.01), showing a clear downward trend. The male-female ratio was 4.16 and the peak incidence was in the group of 70-74 years old. The main occupational activity of senile patients with active pulmonary tuberculosis was peasants, accounting for 71.04%; the highest registration rate was Zhangzhou, 170.17 / 100,000, followed by Putian, Fuzhou and Quanzhou , Longyan, Sanming, Ningde, Nanping and Xiamen. There was no significant difference (P <0.01). There was no seasonal concentration in patients registered (M = 0.26, M <0.3). Conclusion The registration rate of active pulmonary tuberculosis in the elderly in Fujian province was high from 2008 to 2013, showing a declining trend year by year. The male was significantly higher than the female, with the largest proportion of peasants in the patients. There was no seasonal concentration trend in the registration of patients.