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目的分析石家庄市2004-2011年肺结核流行病学特征,为做好预防控制工作提供依据。方法资料来源于“全国传染病疫情信息报告系统”的2004-2011年肺结核疫情数据,分析肺结核的人群、地区、时间分布特征。结果(1)2004-2011年石家庄市肺结核平均发病率为73.56/10万,病死率为7.42/万,8年间肺结核发病率波动不明显。年龄发病特征为10岁以下肺结核发病率较低,10岁开始发病率明显上升,20岁达到一小高峰,25岁以后发病率有所回落,35岁以后发病率又开始明显上升,70岁时达发病最高峰。男性发病明显高于女性;职业分布特征以农民最多,平均占69.15%,其次是学生平均占9.65%和工人平均占5.23%。(2)2004年、2005年、2008年城区发病率高于县乡,2007年、2009年、2010年、2011年县乡发病率高于城区。(3)肺结核全年均有发病,季节性不明显,但每年2月份发病数略低。结论石家庄市肺结核发病在20岁有一小高峰,70岁有一大高峰,其中农民所占比例最多,其次是学生,应做好农民和学生的预防控制工作。
Objective To analyze the epidemiological characteristics of tuberculosis in Shijiazhuang from 2004 to 2011 and provide basis for prevention and control. Methods Data were collected from the 2004-2011 epidemic of tuberculosis in the National Infectious Disease Epidemiological Information System and the characteristics of population, region and time distribution of tuberculosis were analyzed. Results (1) The average incidence of tuberculosis in Shijiazhuang from 2004 to 2011 was 73.56 / 100 000 with a case fatality rate of 7.42 / 10000. The incidence of tuberculosis was not obvious in 8 years. The incidence of pulmonary tuberculosis is characterized by the low incidence of tuberculosis under the age of 10, the incidence of 10-year-old began to rise significantly, a small peak reached the age of 20, the incidence declined after 25 years of age, 35-year-old morbidity again began to rise significantly, 70 years old The peak incidence of disease. The incidence of males was significantly higher than that of females. The occupational distribution was characterized by the largest number of peasants, with an average of 69.15%, followed by students with an average of 9.65% and workers with an average of 5.23%. (2) The incidence of urban areas in 2004, 2005 and 2008 was higher than that of counties and townships, and the incidence in counties and townships in 2007, 2009, 2010 and 2011 was higher than that in urban areas. (3) The incidence of tuberculosis all year round, seasonal is not obvious, but slightly lower incidence in February each year. Conclusion The incidence of tuberculosis in Shijiazhuang City has a small peak at the age of 20 and a major peak at the age of 70, with the largest proportion of peasants, followed by students, and prevention and control of peasants and students should be well done.