结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 249-254.doi: 10.3969/j.issn.2095-3755.2013.04.007

• 论著 • 上一篇    下一篇

广东省结核病示范区肺结核疫情现状分析

陈瑜晖,李建伟,蒋莉,陈亮,尹建军,周琳,钟球   

  1. 510630 广州,广东省结核病控制中心办公室(陈瑜晖、周琳、钟球),科教信息科(李建伟、蒋莉),门诊部(陈亮),防治科(尹建军)
  • 收稿日期:2013-10-19 出版日期:2013-11-30 发布日期:2013-11-30
  • 通信作者: 周琳,Email:gdtb_bg@vip.163.com;钟球,Email:zhongqiu@vip.163.com
  • 基金资助:
    “十二五”国家科技重大专项(2012ZX10004903)

Analysis of the status of tuberculosis epidemic in demonstration district of Guangdong province

CHEN Yu-hui*,LI Jian-wei, JIANG Li, CHEN Liang, YIN Jian-jun, ZHOU Lin, ZHONG Qiu   

  1. *Centre for Tuberculosis Control of Guangdong Province, Guangzhou 510630,China
  • Received:2013-10-19 Online:2013-11-30 Published:2013-11-30
  • Contact: ZHOU Lin,Email:gdtb_bg@vip.163.com;ZHONG Qiu,Email:zhongqiu@vip.163.com

摘要: 目的 了解广东省结核病示范区(深圳市宝安区、广州市番禺区)2012年结核病疫情现状,为评价示范区防治措施及制订结核病控制策略提供参考依据。方法 收集整理2012年宝安区及番禺区结核病疫情相关数据,对示范区登记的3203例活动性肺结核患者根据年龄、性别、职业、痰菌阴转情况、治疗转归等进行分类,应用SPSS 17.0软件进行统计和分析。结果 (1)2012年示范区共登记3203例肺结核患者,其中流动人口患者2349例,占73.3%。(2)肺结核患者男性所占比率(68.5%,2195/3203)高于女性(31.5%,1008/3203);女性涂阳肺结核患者流动人口比率(32.8%,382/1164)高于户籍人口(27.0%,116/429)(χ2=12.73,P<0.01)。(3)流动人口患者的职业分布以家政、家务及待业人员最多(47.7%,1120/2349),初治及复治涂阳肺结核患者均有1/2以上为家政、家务及待业人员。(4)户籍人口初治涂阳肺结核患者2个月末痰菌阴转率为91.9%(351/382)、3个月末痰菌阴转率为96.3%(368/382),均明显高于流动人口[分别为79.8%(776/972)、88.8%(863/972)](χ2值分别为28.53、18.92,P值均<0.01);户籍人口复治涂阳肺结核患者2个月末痰菌阴转率为78.7%(37/47)、3个月末痰菌阴转率为87.2%(41/47),与流动人口相近[分别为68.8%(132/192)、80.2%(154/192)](χ2值分别为1.81、1.24,P值均>0.05)。(5)户籍人口的涂阳肺结核治愈率为93.2%(400/429),明显高于流动人口[85.1%(991/1164)](χ2=18.59, P<0.01);初治涂阳肺结核患者的治愈率为94.5%(361/382),亦明显高于流动人口[86.1%(837/972)](χ2=18.94, P<0.01);流动人口的涂阳肺结核治疗失败率、丢失率为6.8%(79/1164)、3.4%(39/1164),明显高于户籍人口[分别为1.9%(8/429)、0.9%(4/429)](χ2值分别为14.71、6.78, P值均<0.01)。结论 示范区队列人群中流动人口结核病疫情依然严峻,应该加强对流动人口结核病防治策略的研究并进一步加以完善。

Abstract: Objective To understand the TB epidemiological features of the demonstration district of Guangdong province, in order to evaluate the implementation of TB control measures and provide evidence base for floating population TB control strategies development. Methods The age, sex, occupational and treatment outcome of 3203 active PTB cases were analyzed based on the registered data of the demonstration district in 2012. Results (1)In 2012, a total of 3203 PTB cases were registered, in which there were 2349 cases of floating population, accounting for 73.3%.(2) In all cases, the proportion of male (68.5%, 2195/3203) were more than female(31.5%, 1008/3203). Among the smear positive cases of floating population the female had a higher proportion (32.8%,382/1164) than resident population (27.0%,116/429)(χ2=12.73, P<0.01).(3) In terms of the occupational distribution of TB cases of the floating population cases, domestic chores and unemployed accounting for 47.7%(1120/2349)and more than half both in initial treatment and retreatment smear positive cases. (4) In the new smear positive PTB cases, the sputum negative conversion rate at the end of 2th months (91.9%,351/382) and at the end of 3th months (96.3%,368/382) of resident population were significantly higher than that of floating population(79.8%,776/972;88.8%,863/972) (χ2=28.53,18.92,P<0.01),and that was similar in retreatment cases.(5) The smear positive PTB cure rate was 93.2%(400/429) in resident population which was significantly higher than the floating cases(85.1%,991/1164) (χ2=18.59,P<0.01).The cure rate of new smear positive PTB cases of resident population(94.5%,361/382)was higher than the floating cases (86.1%,837/972)(χ2=18.94,P<0.01). But the treatment failure rate(6.8%,79/1164) and cases loss rate(3.4%,39/1164)of smear positive PTB cases were higher in floating population than that of resident population(1.9%,8/429;0.9%,4/429) (χ2=14.71,6.78,P<0.01). Conclusion The demonstration area still have high TB burden in floating population. So we should further improve floating population TB prevention and control strategies.