结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 243-248.doi: 10.3969/j.issn.2095-3755.2013.04.006

• 论著 • 上一篇    下一篇

2001—2010年传染病监测系统报告肺结核患者的特征分析

陈伟,杜昕,夏愔愔,陈秋兰,王黎霞   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2013-07-19 出版日期:2013-11-30 发布日期:2013-11-30
  • 通信作者: 王黎霞,Email:wanglx@chinatb.org

Analysis of characteristics of pulmonary tuberculosis patients registered in the infectious diseases recording & reporting system from 2001 to 2010

CHEN Wei, DU Xin, XIA Yin-yin, CHEN Qiu-lan, WANG Li-xia   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2013-07-19 Online:2013-11-30 Published:2013-11-30
  • Contact: WANG Li-xia, Email: wanglx@chinatb.org

摘要: 目的 了解2001—2010年传染病监测系统报告的肺结核患者特征。方法 收集2001—2010年传染病报告信息管理系统(简称“传染病网络直报系统”)肺结核疫情报告资料,并进行描述性分析,重点分析肺结核报告发病的时间变化趋势、地区和人群分布特征。人群特征方面重点分析了年龄、性别和职业特点。结果 2001年,全国共报告肺结核患者527 336例,发病率为41.32/10万(527 336/1 276 270 000);其中涂阳患者163 055例,发病率为12.78/10万(163 055/1 276 270 000)。2010年,全国共报告肺结核患者991 350例,发病率为74.27/10万(991 350/1 334 740 000);其中涂阳患者456 677例,发病率为34.21/10万(456 677/1 334 740 000)。与2001年比,肺结核发病率上升了79.7%,涂阳发病率上升了167.7%。东部、中部和西部10年间的平均发病率分别为58.34/10万、76.67/10万和92.97/10万。报告发病率随年龄增长呈上升趋势,65~、25~和15~岁组所占比例较高,2001年,65~、25~和15~岁组的报告发病率分别为108.11/10万、48.12/10万、40.59/10万,而2010年分别为183.78/10万、76.22/10万、75.72/10万。2010年65~岁组,男性发病率为285.40/10万,女性为91.34/10万。职业以农牧民为主(60.31%~62.19%),其次是工人(6.52%~8.57%)。结论 传染病监测系统报告的肺结核患者呈逐年上升的趋势,西部高于中部和东部。男性高于女性,中老年组和农牧民报告患者比例较高。通过对监测数据的分析,可以明确结核病防治工作的重点地区和重点人群,从而采取有针对性的干预措施。

Abstract: Objective To understand the characteristics of pulmonary tuberculosis (PTB) patients registered in the infectious diseases recording & reporting system from 2001 to 2010. Methods PTB patients’ data from infectious diseases recording & reporting system were collected and analyzed. The time trend of onset, geographic and population distribution were mainly analyzed. Age, gender and occupation were mainly analyzed in population cha-racteristics. Results In 2001, 527 336 PTB cases were reported, and the TB incidence was 41.32/100 000(527 336/1 276 270 000). 163 055 were smear positive TB cases and the incidence of smear positive was 12.78/100 000(163 055/1 276 270 000). In 2010, 991 350 PTB cases were reported, and the TB incidence was 74.27/100 000(991 350/1 334 740 000). 456 677 were smear positive TB cases and the incidence of smear positive was 34.21/100 000(456 677/1 334 740 000). The TB incidence increased 79.7% and the incidence of smear positive increased 167.7% compared with those of 2001. The average PTB incidence in eastern,middle and western areas were 58.34/100 000, 76.67/100 000 and 92.97/100 000 respectively. The reported incidence rate showed a rising trend with the increase of age. The reported incidence rate in 65-, 25- and 15- age groups were 108.11/100 000,48.12/100 000 and 40.59/100 000 respectively in 2001, while those were 183.78/100 000, 76.22/100 000 and 75.72/100 000 respectively in 2010. In 2010 in 65- age group, the reported incidence rate of PTB was 285.40/100 000 in male and 91.34/100 000 in female. 60.31%-62.19% of the cases were farmers and herdsmen, 6.52%-8.57% were workers. Conclusion The incidence of PTB shows a rising trend year by year, and is higher in western area than middle and eastern areas, and higher in male than in female. Most of the reported cases are in middle and elder age group and are farmers and herdsmen. The key areas and focus groups are fixed by data analysis, so that special intervention measures can be taken.