2016—2021年天津市滨海新区肺结核流行特征分析

摘要/Abstract

摘要： 目的了解2016—2021年天津市滨海新区肺结核的流行特征,为今后制定肺结核的防控策略提供参考依据。方法对中国疾病预防控制信息系统中结核病信息管理系统2016—2021年滨海新区结核病疫情资料进行统计分析。结果 2016—2021年天津市滨海新区登记肺结核病例数为2 681例,平均发病率为20.86/10万,发病率男性高于女性,15~<24岁年龄组和≥65岁年龄组发病率较高。职业分布以家务及待业为主（30.02%）,病原学阳性率逐年增长,其中分子生物学阳性占比由2016年的0.94%增长至88.86%,患者来源以因症就诊为主（86.26%）,其次为转诊（24.67%）,50.58%患者存在就诊延迟。结论 2016—2021年天津市滨海新区肺结核发病率总体逐年增长,应关注学生及老年人群体,加强重点人群筛查,加强结核病知识宣传,提高群众认知水平,早发现,早治疗,降低传播风险。

关键词: 肺结核, 流行特征, 发病率

Abstract: Objective To provide basis for the formulation of prevention and control measures in the future by analyzing the epidemic characteristics of tuberculosis in Binhai New District of Tianjin from 2016 to 2021. Methods The statistical analysis was conducted on the epidemic situation data of tuberculosis in Binhai New Area from 2016 to 2021 in the tuberculosis information management system of Chinese disease prevention and control information system. Results From 2016 to 2021,there were 2 681 registered cases of pulmonary tuberculosis in Binhai New District of Tianjin. The average incidence rate was 20.86/100 000.The incidence in males was significantly higher than that in females. The incidence rates of the 15-<24 age group and the >65 age group were relatively high. The occupation distribution was dominated by housework and unemployment（30.02%）. The positive rate of etiology had increased year by year,in which the proportion of positive molecular biology had increased from 0.94% in 2016 to 88.86%. The source of patients was mainly due to illness（86.26%）,followed by referral（24.67%）. 50.58% of patients had delayed. Conclusion The incidence rate of tuberculosis in Binhai New District has generally shown a Growth trend from 2016 to 2021,and it is necessary to pay attention to students and the elderly,strengthen the screening of key groups,strengthen the publicity of tuberculosis knowledge,improve the level of public awareness,early detection,early treatment,and reduce the risk of transmission.

Key words: Pulmonary tuberculosis, Epidemic characteristics, Incidence rate

中图分类号:

R181.8⁺1

杨慧君, 罗娇娇. 2016—2021年天津市滨海新区肺结核流行特征分析. [J]职业与健康, 2023, 39(20): 2785-2788.

YANG Huijun, LUO Jiaojiao. Analysis on epidemic characteristics of pulmonary tuberculosis in Binhai New District of Tianjin from 2016-2021. [J]OCCUPATION AND HEALTH, 2023, 39(20): 2785-2788.

参考文献

[1] CHANDRA S,SHARMA N,JOSHI K,et al.Resurrecting social infrastructure as a determinant of urban tuberculosis control in Delhi,India[J].Health Res Policy Syst,2014,12:3.
[2] SHARMA A,BLOSS E,HEILIG C M,et al.Tuberculosis Caused by Mycobacterium africanum,United States,2004-2013[J].EID,2016,22(3):396-403.
[3] 国家卫生健康委员会疾病预防控制局. 2018年全国法定传染病疫情概况[EB/OL].(2019-04-24)[2019-05-20].http://www.nhc.gov.cn/jkj/s3578/201904/050427ff32704a5(lb64f4aelI6(157c6e.shtnil.
[4] World Health Organizaition.Global tuberculosis report 2018[R].Geneva:World Health Organization,2018.
[5] MARAIS B J,SINTCHENKO V.Epidemic spread of multidrug-resistant tuberculosis in China[J].The Lancet Infectious Diseases,2017,17(3):238-239.
[6] 王黎霞,成诗明,陈明亭,等.2010年全国第五次结核病流行病学抽样调查报告[J].中国防痨杂志,2012,34(8):485-508.
[7] 李卫林,林红,莆田市2011—2015 年肺结核流行特征[J].海峡预防医学杂志,2017,23(1):52-54.
[8] 肖筱,陈静,李向群,等.2009—2017年上海市学生肺结核疫情特征分析[J].中国防痨杂志,2020,42(5):498-502.
[9] 张传芳,唐益,徐祖辉,等.湖南省2012—2017年学生肺结核登记情况及流行特征[J].中国感染控制杂志,2018,17(11):1008-1012.
[10] 张国钦,唐智多,窦立文,等.天津市2006—2013年学生肺结核发病情况及流行病学特征[J].中国公共卫生,2016,32(11):1531-1534.
[11] 张懿行,李小攀,孙乔,等.2008—2014年上海市浦东新区居民肺结核发病情况及其趋势分析[J].疾病监测,2016,31(1):29-33.
[12] 王荣,李晨,杨晨,等.南京市2011—2013年肺结核患者就诊延迟状况及影响因素分析[J].中华疾病控制杂志,2015,19(8):854-856.
[13] 王俊武. 2010—2012 年安徽省桐城市肺结核流行特征分析[J].疾病监测,2013,28(9):740-742
[14] 陈慧娟,陈璞,杨婕,等.2005—2012年贵州省肺结核疫情分析[J].现代预防医学,2015,42(2):342-344.
[15] 陈伟,王雪静,王黎霞,等.全国五省结核病与性别关系的研究[J].中国防痨杂志,2010,32(9):534-539.
[16] 卢鹏,成君,路希,等.科学开展预防性治疗加速遏制结核病进程[J].中国防痨杂志,2020,42(4):316-321.
[17] 陈卉,夏情情,张灿有,等.2014—2018年全国学生肺结核疫情变化趋势及特征分析[J].中国防痨杂志,2019,41(6):662-668.
[18] 宋丽新,王孝君,熊姿,等.长沙市2009—2018年肺结核疫情流行特征分析[J].中国卫生标准管理,2020,11(5):3-6.
[19] 郝艳艳,李月华,吴刚,等.2011—2015年新疆阿克苏地区结核病流行特征分析[J].中国防痨杂志,2017,39(10):1141-1144.
[20] 胡嘉,孟旭,邱林西.江西省贫困地区老年人结核病患病影响因素[J].中国老年学杂志,2017,37(16):4130-4132.
[21] 马艳,高微微.老年结核病防治现况与展望[J].结核病与肺部健康杂志,2018,7(3):161-166.
[22] 朱海,杨洪梅,李春风,等.沈阳浑南区2012—2016年肺结核流行特征分析[J].中国公共卫生,2018,34(1):139-141
[23] 梅金周,赵安贵,彭丽爱,等.深圳市宝安区2013—2017年登记肺结核患者社会人口学特征分析[J].广东医学,2020,41(19):2045-2049.
[24] 高谦,梅建.传播才是造成我国结核病高耐药率的主要原因[J].中国防痨杂志,2015,37(11):1091-1096.
[25] 马建军.袁燕莉,张铁娟.等.吉林省流动人口结核病患者流行病学特征及就诊情况分析[J].中国卫生工程学,2018,17(1):29-32.