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目的了解河北省2008-2014年肺结核疫情状况及流行特征。方法从“中国疾病预防控制信息系统”导出河北省2008-2014年报告肺结核发病信息,并使用Excel和Visual FoxPro对数据进行汇总分析。结果河北省2008-2014年共报告肺结核病例279 419例,年平均报告发病率为55.4/10万,呈逐年下降趋势,年递降率5.0%;全年发病呈逐月减少趋势。11个市肺结核发病率在67.4/10万~42.5/10万之间,承德市、张家口市较高,唐山、秦皇岛市较低。男、女年均报告发病率分别为74.5/10万和35.5/10万;15岁以下儿童年均报告发病率最低(2.5/10万),75~岁年龄组最高(134.6/10万)。农、牧、渔民病例占76.9%,且构成比逐年升高。结核病总耐药率26.8%(初治15.1%,复治49.6%),单耐药率8.5%(初治8.2%,复治8.9%)。结论河北省结核病发病呈逐年下降趋势,有地区、职业、性别和年龄差异,耐药率较低。
Objective To understand the epidemic situation and epidemic characteristics of pulmonary tuberculosis in Hebei Province from 2008 to 2014. Methods The information of tuberculosis incidence in Hebei Province was exported from Hebei Province in 2008-2014 from “China CDC Information System”, and the data were summarized by using Excel and Visual FoxPro. Results A total of 279 419 cases of tuberculosis were reported in Hebei Province from 2008 to 2014, with an annual average incidence of 55.4 / 100 000, showing a declining trend year by year with an annual declining rate of 5.0%. The annual incidence showed a decreasing trend month by month. The incidence of pulmonary tuberculosis in 11 cities was between 67.4 / 100000 and 42.5 / 100000, higher in Chengde City and Zhangjiakou City, lower in Tangshan and Qinhuangdao City. The average reported incidence of male and female was 74.5 / 100000 and 35.5 / 100000 respectively; the annual average incidence of children under 15 years old was the lowest (2.5 / 100000) and the highest was 134.6 / 100000 in the age group of 75 ~. The cases of farmers, herdsmen and fishermen accounted for 76.9% of cases, and the composition ratio increased year by year. The total drug resistance rate of tuberculosis was 26.8% (initial treatment 15.1%, retreatment 49.6%) and single drug resistance 8.5% (initial treatment 8.2% and retreatment 8.9%). Conclusion The incidence of tuberculosis in Hebei Province showed a declining trend year by year with the differences of area, occupation, sex and age, and the rate of resistance was low.