结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (3): 184-188.doi: 10.3969/j.issn.2095-3755.2015.03.008

• 论著 • 上一篇    下一篇

2010—2014年新疆维吾尔自治区学生肺结核疫情分析

杨津明,李月华,邰新蓉,李涛   

  1. 830002 乌鲁木齐,新疆维吾尔自治区疾病预防控制中心结核病预防与控制中心(杨津明、李月华、邰新蓉);中国疾病预防控制中心结核病预防控制中心(李涛)
  • 收稿日期:2015-06-26 出版日期:2015-09-14 发布日期:2015-09-14
  • 通信作者: 李月华,Email:664748060@qq.com

Analysis on pulmonary tuberculosis in students from the Xinjiang Uygur Autonomous Region during 2010 to 2014

YANG Jin-ming, LI Yue-hua, TAI Xin-rong, LI Tao   

  1. The Xinjiang Uygur Autonomous Region Center for Tuberculosis Control and Prevention, Xinjiang CDC, Urumqi 830002, China
  • Received:2015-06-26 Online:2015-09-14 Published:2015-09-14
  • Contact: LI Yue-hua, Email:664748060@qq.com

摘要: 目的 了解新疆维吾尔自治区(简称“新疆”)学生中肺结核病发病监测结果,为制定有效的学校结核病疫情防控措施提供依据。方法 利用中国疾病预防控制信息系统传染病报告管理信息系统,收集新疆2010—2014年报告的学生肺结核报告发病人群(共计5347例),分别对时间分布(分为1—12月份)、性别分布和年龄分布(分为5个年龄组,分别是:5~岁、10~岁、15~岁、20~岁、25~岁)进行分析;利用中国结核病管理信息系统,收集2010—2014年登记的4689例学生活动性肺核患者的民族分布(分为维吾尔族、汉族、哈萨克族、回族和其他少数民族五类)和就诊延迟数据,用Excel 2010和SPSS 21.0软件进行分析,对不同时间分布、不同性别、不同年龄组的发病率比较进行χ2检验,以P<0.05为差异有统计学意义。结果 2010—2014年新疆共报告学生肺结核发病5347例,报告发病率分别为:20.99/10万、18.14/10万、16.73/10万、16.25/10万和17.87/10万,5年间学生报告发病率总体呈下降趋势,各年度报告发病率比较:χ2=45.26,P<0.001,差异有统计学意义;学生肺结核发病例数分别占全人群结核病发病例数的2.48%~3.54%;每年1—5月份报告发病的学生肺结核患者明显高于其他月份,不同月份发病学生构成比之间比较:χ2=85.08,P<0.001,差异有统计学意义;男性均少于女性,不同年份学生性别构成比差异无统计学意义(χ2=3.80,P=0.434);15~岁年龄组的学生肺结核患者占学生发病总例数的55.00%(2941/5347),不同年份各年龄组学生肺结核患者构成比差异有统计学意义(χ2=47.21,P<0.001)。2010—2014年新疆通过结核病管理信息系统共登记活动性学生肺结核患者4689例,维吾尔族占46.51%,平均就诊延误时间在36~44 d间。结论 2010—2014年新疆学生肺结核报告发病系统不断健全,报告发病率呈下降趋势, 报告高峰每年均集中在1—5月份,15~岁年龄组的学生肺结核患者比例最高。根据学生疫情特点,各级结核病防治机构需履行职责,切实加强学生肺结核防治工作。

Abstract: Objective To understand the surveillance results of pulmonary tuberculosis among students in the Xinjiang Uygur Autonomous Region (Xinjiang), and to provide evidence for developing effective TB control mea-sures in schools.Methods Using infectious disease report management information system of China disease prevention and control information system, collected from Xinjiang 2010—2014 report of the incidence of tuberculosis patients (total 5347 cases), respectively, the time distribution (divided into 1-12 months), sex distribution and age distribution (divided into 5 age groups: 5- years old, 15- years old, 20- years old and 25- years old). Using China TB management information system, collected registration 4689 student cases with active pulmonary tuberculosis with national distribution (divided into five categories, the Uygur, Han, Kazak, Hui and other ethnic minorities) and treatment delay data. Data analysis with software Excel 2010 and SPSS 21.0, distribution of different time, different gender, different age group the incidence rate were compared with chi square test, P<0.05 for statistical significance.Results During 2010 to 2014, 5347 cases with pulmonary tuberculosis were reported in Xinjiang, the incidence rate was 20.99/100 000, 18.14/100 000, 16.73/100 000, 16.25/100 000, 17.87/100 000, the incidence of the students was reported as decline trend in five years. Comparison of incidence rates of each year showed that the difference was statistically significant (χ2=45.26,P<0.001). Students’ cases with pulmonary tuberculosis accounted for 2.48%-3.54% of the whole population tuberculosis cases, The annual incidence of TB patients in Jan-May every year was significantly higher than that of other months, the constituent ratio of incidence of students’ cases in different months had statistical significance (χ2=85.08,P<0.001).Males’ cases were less than females’. Students’ gender ratios in different years was no significant difference (χ2=3.80,P=0.434). Students’ cases with pulmonary tuberculosis in 15- years old group accounted for 55.00% (2941/5347). The constituent ratio of students’ cases with pulmonary tuberculosis in each age group of different years was significant difference (χ2=47.21,P<0.001). During 2010 to 2014, 4689 cases with pulmonary tuberculosis were registered by tuberculosis management information system in Xinjiang Uygur Autonomous Region, the Uygur accounted for 46.51%, and the average delay time was from 36 to 44 days.Conclusion From 2010 to 2014, the report system of students’ incidence case of Xinjiang is continuously improved, and the report incidence rate is declining annually. The peak of incidence rate is from Jan. to May. The proportion of students’ cases with pulmonary tuberculosis in 15- age group is the highest. According to the features of the students’ epidemic situation in Xinjiang, tuberculosis dispensary at all levels should perform their duties, and effectively strengthen the students’ tuberculosis control and prevention work.