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目的了解我国流动人口活动性肺结核患者(流动人口患者)在各省间的分布状况,为促进流动人口结核病防治工作的开展提供科学依据。方法对2010年我国结核病管理信息系统登记的全国流动人口患者的现住址和原籍数据进行分析。结果 2010年我国共登记流动人口患者74 596例,其中29 578例(39.7%)在省内流动,45 018例(60.3%)在省际流动。省际流动人口患者中,41 532例(92.3%)登记在东部地区,2266例(5.0%)登记在西部地区,1220例(2.7%)登记在中部地区;省内流动人口患者中,15 188例(51.3%)登记在东部地区,7670例(25.9%)登记在西部地区,6720例(22.7%)登记在中部地区;省际流动人口患者中,20 697例(46.0%)的原籍分布在西部地区,20 157例(44.8%)在中部地区,4164例(9.2%)在东部地区。省际流动人口患者有相对固定的流出省份和流入省份。结论中西部地区是我国流动人口的主要流出地,东部沿海地区是主要流入地,也是流动人口结核病防治工作的核心区域。应根据流动人口患者分布格局开展流动人口结核病防治工作,根据流动趋势在流出地和流入地结核病防治机构之间建立固定的合作关系。
Objective To understand the distribution of active pulmonary tuberculosis patients (floating population patients) among the floating population in our country and to provide a scientific basis for promoting the prevention and control of tuberculosis in floating population. Methods The current addresses and primary data of the floating population registered in China’s TB management information system in 2010 were analyzed. Results In 2010, a total of 74 596 migrant patients were registered in our country, of which 29 578 (39.7%) migrated in the province and 45 018 (60.3%) migrated across the province. Among the inter-provincial floating population, 41 532 (92.3%) were registered in the eastern region, 2266 (5.0%) were registered in the western region and 1220 (2.7%) were registered in the central region; among the floating population in the province, 15 188 (51.3%) were registered in the eastern region, 7670 (25.9%) were registered in the western region and 6720 (22.7%) were registered in the central region. Among the inter-provincial floating population, 20 697 (46.0% In the western region, 20 157 (44.8%) were in the central region and 4164 (9.2%) were in the eastern region. Inter-provincial floating population patients have relatively fixed outflow provinces and inflow provinces. Conclusion The central and western regions are the major outflow areas for migrants in China. The eastern coastal areas are the major inflow areas and the core area for the prevention and control of tuberculosis in floating population. The prevention and control of TB in floating population should be carried out according to the distribution pattern of floating population patients, and a fixed cooperative relationship should be established between TB prevention and treatment institutions in the outflow and inflow areas according to the trend of flow.