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目的分析张家口市2005—2010年肺结核病流行特征,为其预防控制提供科学依据。方法从中国疾病预防控制信息系统下载该市2005—2010年肺结核病疫情资料,用描述流行病学方法对时间分布、地区分布、人群分布进行流行病学分析。结果 2005—2010年张家口市肺结核发病率总体呈上升趋势,发病率波动在40.88/10万～64.55/10万之间,年平均发病率55.82/10万;一年四季均有发病,以12月最多;各县(区)均有病例发生,其中蔚县发病数最多,占全市的11.53%;发病数居前3位的县(区)为蔚县、宣化县、张北县,这3个县共报告发病4 355例,占全市的28.34%;男女病例比例为2.39:1,男性明显多于女性;发病率最高为45岁年龄组(19.66%),农民占总发病人数80.45%。结论张家口市是肺结核病的历史疫区,6年来每个县(区)均有发病,应针对重点地区、重点人群采取综合措施予以预防控制。
Objective To analyze the epidemiological characteristics of tuberculosis in Zhangjiakou City from 2005 to 2010 and provide a scientific basis for its prevention and control. Methods Epidemiological analysis of epidemic situation of pulmonary tuberculosis in the city from 2005 to 2010 was downloaded from China CDC. Epidemiological analysis of distribution of time, distribution of population and distribution of population were carried out by describing epidemiological methods. Results The incidence of pulmonary tuberculosis in Zhangjiakou City increased from 2005 to 2010. The incidence fluctuated between 40.88 / 100000 and 64.55 / 100000 with an average annual incidence of 55.82 / 100000. The incidence of tuberculosis in Zhangjiakou City was increased from December to December (Counties) occurred in all cases, of which the highest incidence of Yuxian County, accounting for 11.53% of the city; the incidence of the top three counties (districts) for Wei County, Xuanhua County, Zhangbei County, these three The county reported a total of 4 355 cases of disease, accounting for 28.34% of the city; male and female cases were 2.39: 1, significantly more men than women; the highest incidence of 45 years old age group (19.66%), peasants accounted for 80.45% of the total number of cases. Conclusions Zhangjiakou City is a historic epidemic area of pulmonary tuberculosis. In each county (district) in the past 6 years, it has incidence. Comprehensive measures should be taken for prevention and control in key areas and key populations.