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目的了解平定县肺结核流行病学特征,为相关部门制定防控措施提供科学依据。方法采用描述流行病学方法对2011-2014年平定县登记活动性肺结核病例材料进行整理分析。结果平定县2011-2014年共登记肺结核病例433例,2011年登记率41.21/10万,以后逐年下降,2014年为26.76/10万,与2011年相比登记率下降35%,差异有统计学意义(χ2=10.43,P<0.05);登记肺结核患者中男女性别比为1.49:1,男性发病率高于女性,两者差异有统计学意义(χ2=12.03,P<0.05);患病年龄以15~44岁年龄组居多,占发病总数的50.12%;职业分布以农民为主,占80.83%,其次为学生,占8.08%;时间分布无明显季节性;地区分布以柏井镇、岔口乡和石门口乡排前三位。结论平定县结核病防治工作取得了一定成效,但疫情仍不容乐观,今后结核病防治工作重点应放在山区的农村,其次是学校,重点对象为男性青壮年。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis in Pingding County and provide a scientific basis for the relevant departments to formulate prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the data of registered TB cases in Pingding County from 2011 to 2014. Results A total of 433 cases of tuberculosis were registered in Pingding County in 2011-2014. The registration rate in 2011 was 41.21 / 100000 and then decreased year by year to 26.76 / 100000 in 2014, down 35% from 2011. The difference was statistically significant (Χ2 = 10.43, P <0.05). The male to female ratio of registered tuberculosis patients was 1.49: 1, and the male morbidity was higher than that of females (χ2 = 12.03, P <0.05) Accounting for 50.12% of the total; the occupational distribution is mainly peasant, accounting for 80.83%, followed by students, accounting for 8.08%; the time distribution is not obvious seasonal; the distribution is in the areas of Baijing Town, Dukouxiang And Shimen Township ranked the top three. Conclusion TB prevention and treatment in Pingding County has achieved some success, but the epidemic is still not optimistic. In the future, TB prevention and control work should be focused on rural areas in mountainous areas, followed by schools, with emphasis on male young adults.