【作者】 钟静； 何丽燕； 何庆秋；

【Author】 ZhongJing,He liyan,He Qingqiu. Guangzhou Chest Hospital,Guangzhou 510095,China.

【机构】 广州市胸科医院；

【摘要】 目的通过对广州市流动人口肺结核流行因素分析,研究本地区该人群的结核病流行特征,为制定流动人口结核病控制措施提供科学依据。方法登记广州市海珠区2005～2006年流动人口和本地人口新登记肺结核患者病例,采用SPSS13.0软件对原始资料进行统计分析,并计算流行因素的比值比(OR)、95%可信区间(CI)、概率(P)及Х2检验、多因素Logistic非参数回归分析。结果流动人口活动性肺结核病有1112例,男女比例为2.0:1;平均年龄30.5±18.6;25岁～年龄组占43.1%(OR=3.66、95%CI为2.95～4.54),是罹患结核病的高危年龄组。在初治病人中,流动人口涂阳率比本地人口涂阳率约高5%,二者统计学检验有显著性差异(P=0.047)。多因素Logistic非参数回归分析显示年龄是结核病流行的影响因素。结论应加强对流动人口结核病疫情监控,尤其是流动人口25岁～组对肺结核流行起主要作用。流动人口结核病涂阳病人是海珠区结核病传播的主要传染源。更多还原

【Abstract】 Objective To analyze the epidemiological feature in floating population in Guangzhou by means of analysis on pulmonary tuberculosis (TB) in floating population.Methods New tuberculosis cases in floating and local population were registered during 2005～2006 and the data were analyzed by SPSS 13.0,to calulate the OR and 95%CI,Probability,Х2 Test,Multivariate logistic regression.Results There were 1112 cases of tuberculosis with ratio of 2 to 1 in men to women and the average age was 30.5 ±18.6;rotia in 25 age-group～ amounted for 43.1%(OR=3.66、95% CI=2.95～4.54),which was the high risk age-group in tuberculosis infection.In first treatment,the positive rate in floating population was 5% higher than that in local population,where there were the significant difference between two populations(P = 0.047). The main factor of epidemiology was age with the the metod of the multivariate logistic regression.Conclusion It was must be strenthened the surveillane and monitoring for floating population,especially in 25 age-group～;the patients with positive-smear was the main source of transmmission in Haizhu of Guangzhou.更多还原