【摘要】 目的了解2014—2018年广州市海珠区结核病患者流行特征,为制定结核病防治措施提供依据。方法以2014—2018年《中国疾病预防控制信息系统》的子系统《结核病管理信息系统》(简称"《专报系统》")中登记的广州市海珠区6555例结核病患者为研究对象,对2014—2018年海珠区结核病年均登记发病情况、不同时间和地区登记患者分布情况,以及人群特征进行统计分析。结果 2014—2018年广州市海珠区共登记结核病患者6555例,年均登记发病率为79.86/10万(6555/8 208 100),其中户籍人口结核病患者共3529例,年均登记发病率为68.77/10万(3529/5 131 400),非户籍人口结核病患者共3026例,年均登记发病率为98.35/10万(3026/3 076 700)。2014—2018年全区平均登记率分别为93.70/10万(1499/1 599 800)、85.08/10万(1373/1 613 700)、82.85/10万(1357/1 637 900)、73.12/10万(1216/1 663 100)、65.54/10万(1110/1 693 600),呈下降趋势(χ~2趋势=96.33,P=0.000)。2014—2018年海珠区结核病以4月和9月登记患者例数较多,分别为631例(9.63%,631/6555)和605例(9.23%,605/6555)。全区各街道均有登记患者,最高为南洲街,年平均登记率为136.99/10万(754/550 411);最低为南石头街,年平均登记率为57.26/10万(336/586 848)。全区男性患者4545例,女性患者2010例,男∶女=2.3∶1;全区结核病患者以25～34岁年龄组为主,占21.88%(1434/6555),但户籍人口以55～64岁年龄组为主,占21.82%(770/3529);职业分布全区以家务及待业患者最高,占45.98%(3014/6555)。结论 2014—2018年广州市海珠区结核病疫情呈逐年下降趋势,疫情控制工作取得一定的成效,男性、25～34岁年龄组、南洲街、家务及待业人群是结核病防治的重点人群。更多还原

【Abstract】 Objective To understand the epidemic characteristics of tuberculosis(TB)patients in Haizhu District of Guangzhou from 2014to 2018,so as to provide basis for the formulation of TB control measures.Methods Data of 6555TB patients registered in Haizhu District of Guangzhou from 2014to 2018 were collected from sub-system of China Disease Prevention and Control Information system-Tuberculosis Management Information System(Referred to as"Special Report System").Descriptive epidemiological method was used to analyze the average annual registration rate,distribution of TB patient in different time and regions.Results A total of 6555TB patients were registered from 2014to 2018,the average annual registration rate was 79.86/100 000(6555/8 208 100),and that for household registered population and non-household registered population were 68.77/100 000(3529/5 131 400)and 98.35/100 000(3026/3 076 700)with 3529and 3026TB patients registered respectively.The registration rates from 2014-2018 were 93.70/100 000(1499/1 599 800),85.08/100 000(1373/1 613 700),82.85/100 000(1357/1 637 900),73.12/100 000(1216/1 663 100)and 65.54/100 000(1110/1 693 600),whichnumbers of patients registered in April and September were more,which was 631(9.63%,631/6555)and 605(9.23%,605/6555),respectively.All the streets in the district had registered patients,and the highest was Nanzhou Street with the average annual registration rate of 136.99/100 000(754/550 411),and the lowest was Nanshitou Street with the average annual registration rate of 57.26/100 000(336/586 848).There were 4545male patients and 2010female patients in the district,with a male-female ratio of 2.3∶1.The majority of TB patients were aged 25-34years,accounting for 21.88%(1434/6555).However,the registration rate of 55-64years age group was the highest for household registered population,accounting for 21.82%(770/3529).The highest occupational distribution was among the housework and unemployed patients,accounting for 45.98%(3014/6555).Conclusion From 2014to 2018,the epidemic of TB in Haizhu District of Guangzhou shows a declining trend year by year,and the epidemic control has achieved certain results.Male,25-34years old age group,Nanzhou Street,household and unemployed people are the key groups of TB prevention and control in the future.更多还原