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目的了解高县肺结核病疫情报告的动态变化和流行特征,为探索肺结核病防治措施提供科学依据。方法对高县2001~2012年肺结核疫情报告资料进行分析。结果 2001~2012年高县累计报告肺结核病人4 266例,死亡10例,涂阳病人2 087例,年均报告发病率、死亡率和涂阳发病率分别为74.71/10万、0.16/10万和36.55/10万。肺结核报告发病率,2006年最高为91.84/10万,2003年最低为39.90/10万,不同年份发病率差异有统计学意义(P<0.01)。肺结核年均发病率,男性为109.24/10万、女性为40.17/10万(P<0.01);涂阳肺结核年均发病率,男性为53.06/10万、女性为20.03/10万。4 266例中,农民为最高,占79.40%,发病年龄主要集中在15~65岁占88.23%,发病年龄主要集中在15~65岁,合计1 763例,占总发病数的84.48%。结论近年来高县肺结核年均报告发病率仍维持在较高水平,农村为高发地区,15~65岁男性农民为高发人群。
Objective To understand the dynamic changes and epidemic characteristics of pulmonary tuberculosis (TB) in high counties and provide a scientific basis for exploring TB tuberculosis prevention and control measures. Methods The data of tuberculosis epidemic situation in high counties from 2001 to 2012 were analyzed. Results A total of 4 266 pulmonary tuberculosis cases, 10 deaths and 2 087 smear positive cases were reported in Gaoxian County from 2001 to 2012. The annual average incidence, mortality and smear-positive rates were 74.71 / 100,000 and 0.16 / 100,000 respectively And 36.55 / 100,000. The incidence of tuberculosis reported in 2006 up to 91.84 / 100 000, the lowest in 2003 was 39.90 / 100 000, the incidence of different years was statistically significant (P <0.01). The annual average incidence of tuberculosis was 109.24 / lakh in males and 40.17 / lakh in females (P <0.01). The annual average incidence of smear-positive pulmonary tuberculosis was 53.06 / lakh for males and 20.03 / lakh for females. Among the 4 266 cases, peasants were the highest, accounting for 79.40%. The age of onset was mainly concentrated in 88.23% of those aged 15-65 years. The age of onset was mainly between 15 and 65 years old, accounting for a total of 1 763 cases, accounting for 84.48% of the total. Conclusion In recent years, the annual incidence of tuberculosis in high counties has remained at a high level. In rural areas, the incidence of tuberculosis is still high. Male farmers 15 to 65 years old are high-risk individuals.