【摘要】 目的了解深圳市宝安区结核病患者的流行病学特征及结核病疫情变化趋势,为进一步制定结核病预防和控制策略提供依据。方法采用描述性流行病学方法,对深圳市宝安区2008—2015年结核病网络登记报告的结核病患者资料进行分析。结果 2008—2015年深圳市宝安区累计登记报告活动性肺结核患者12 658例,年均登记率为47.75/10万,涂阳患者的年均登记率为27.5/10万,两者的登记率均呈下降趋势(χ~2趋势=139.48,P<0.01;χ~2趋势=162.45,P<0.01)。肺结核患者中,男女比例1.87∶1;主要集中在15~44岁,占总发病人数的85.00%。户籍类型分布上,以流动人口肺结核患者为主,占全部患者的94.63%;流动人口的年均登记率为52.64/10万,明显高于户籍人口(23.38/10万),两种户籍类型的活动性肺结核登记率均呈逐年下降的趋势(χ~2趋势=42.48,P<0.01;χ~2趋势=162.67,P<0.01)。各职业类型中,以工人、家政人员和学生登记报告患者较多,分别占患者总数的42.8%、51.65%和1.17%。时间上以4—9月份报告患者较多,占患者总数的57.57%,1月和2月份报告患者数量最少。结论宝安区肺结核登记率呈下降趋势,但仍需加强流动人口、工人和家政人员的结核病防治工作。更多还原

【Abstract】 Objective To explore the epidemiological characteristics and variation trend of tuberculosis in Bao’anDistrict, Shenzhen City, Guangdong Province from 2008 to 2015, so as to provide the evidence for formulating the tuberculosiscontrol strategy. Methods The descriptive epidemiology method was used to analyze the data of tuberculosis patients whohad been registered and reported in Tuberculosis Management Information System in Bao’an District from 2008 to 2015.Results There were cumulative registration reports of 12 658 active tuberculosis patients, with an average annual registrationrate of 47.75/105, and the annual average registration rate of smear-positive patients was 27.5/105, both of which presenteddownward trends(χ~2 trend= 139.48, P<0.01; χ~2 trend= 162.45, P<0.01) in Bao’an District, Shenzhen City from 2008 to 2015. The ratio of male to female was 1.87∶1. The patients were mainly concentrated in 15 to 44-year-old population, accounting for85.00% of the total patients. The migrant patients with tuberculosis constituted 94.63% of all patients. The average annualregistration rate of migrant population was 52.64/105, which was obviously higher than that of registered permanent residencepopulation(23.38/105). However, both populations showed downward trends(χ~2 trend=42.48, P<0.01; χ~2 trend=162.67, P<0.01). Thedominant occupations were found to be workers, domestic workers and students, accounting for 42.8%, 51.65% and 1.17%respectively. The patient reports mainly came from April to September, accounting for 57.57%, and reached the lowest numberin January and February. Conclusion The tuberculosis registration rate shows a declining trend year by year in Bao’anDistrict, but the control work of tuberculosis in the migrants, workers and domestic workers should be further strengthened.更多还原