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目的:分析苏州市姑苏区2013年—2015年间结核病的疫情分布及其防治措施,为更好地开展结核病防治工作和对策提供科学参考。方法:采用Microsoft Excel工作软件,分析姑苏区2013年—2015年结核病病例登记管理信息系统中的资料进行描述性流行病学。结果:2013年1月1日—2015年12月31日间,现住址为姑苏区的肺结核病例累计427例,年平均发病率为19.21/10万(人口数采用2013年—2015年姑苏区平均人口数),男性年均发病率为26.40/10万,女性年均发病率为12.23/10万,男-女发病率之比为2.16∶1.00,绝大部分发病年龄组均是男性病例,发病年龄主要集中在20~70岁年龄组,其中以20~25岁年龄组发病率为最高,主要为青壮年,≤10岁组发病率为最低;历年发病率较高的是城乡结合部的街道;发病率较低的是古城区内的街道;在职业分布方面,肺结核患者以家务及待业最多。结论:虽然,近年来姑苏区结核病疫情相对平稳,但在地区分布上属于城乡结合部的街道由于房屋租住价相对城区便宜,导致外来人口比较集中;因此发病率相对较高;从年龄分布结果来看,肺结核患者人数以青壮年较多,表明肺结核目前主要危害劳动人群身体健康和生命安全,对社会生产和经济发展影响较大;在职业分布方面,肺结核患者以家务及待业最多,提示姑苏区肺结核预防控制工作的重点人群应该是家务及待业人员。
Objective: To analyze the epidemic situation of TB in Gusu District of Suzhou City from 2013 to 2015 and its prevention and treatment measures, so as to provide scientific reference for TB prevention and control work and countermeasures. Methods: Descriptive epidemiology was conducted using Microsoft Excel software to analyze the data of tuberculosis case registration management information system in Gusu District from 2013 to 2015. Results: From January 1, 2013 to December 31, 2015, a total of 427 pulmonary tuberculosis cases were located in Gusu District with an average annual incidence of 19.21 / 100,000 (the population was calculated as the average of Gusu District in 2013-2015 Population), the average annual incidence of men was 26.40 / 100000, the average annual incidence of women was 12.23 / 100000, the male-female incidence ratio of 2.16: 1.00, the vast majority of onset age groups are male cases, the incidence The age mainly concentrated in the 20 to 70 age group, of which 20 to 25 age group the highest incidence, mainly young adults, ≤ 10 years old group was the lowest incidence; the highest incidence in the past years is the urban-rural junction of the street ; The incidence is lower in the ancient city streets; occupational distribution, tuberculosis patients with the most domestic and unemployed. Conclusion: Although the epidemic situation of tuberculosis in Gusu district was relatively stable in recent years, the suburbs that belonged to the junction of urban and rural areas in the region were relatively cheaper due to the relatively lower rental price of houses, leading to a higher concentration of migrants. As a result, the incidence rate was relatively high. In terms of occupational distribution, tuberculosis patients have the most housework and unemployed, suggesting that the number of tuberculosis patients is larger than that of young adults, indicating that tuberculosis is currently the major hazard to the health and safety of working people and has a great impact on social production and economic development. The key population for tuberculosis prevention and control in the Soviet area should be domestic workers and unemployed people.