热带病与寄生虫学

热带病与寄生虫学 ›› 2023, Vol. 21 ›› Issue (2): 93-97.doi: 10.3969/j.issn.1672-2302.2023.02.007

• 结核病控制专题 • 上一篇    下一篇

2011—2020年新疆喀什地区肺结核流行特征分析

地尔木拉提·吐孙1(), 麦维兰江·阿不力米提2(), 刘振江2, 何懿3, 苏伟4()   

  1. 1.新疆维吾尔自治区喀什地区疾病预防控制中心，新疆喀什844000
    2.新疆维吾尔自治区喀什地区结核病防治所
    3.上海市疾病预防控制中心
    4.中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2023-03-21 出版日期:2023-04-20 发布日期:2023-05-04
  • 通信作者: 苏伟，E-mail: suwei@chinacdc.cn
  • 作者简介:地尔木拉提·吐孙，男，本科，主治医师，研究方向：结核病防治和疾病监测。E-mail: 2949063866@qq.com|麦维兰江·阿不力米提，男，本科，主治医师，研究方向：结核病防治和疾病监测。E-mail: 572333866@qq.com
  • 基金资助:
    新疆维吾尔自治区“青年科技人才-乡村振兴”项目(WJWY-XCZX202233)

Analysis of the epidemiological characteristics of pulmonary tuberculosis in Kashgar，Xinjiang Uygur Autonomous Region from 2011 to 2020

DIERMULATI·Tu-sun 1(), MAIWEILANJIANG·A-bu-li-mi-ti 2(), LIU Zhen-jiang2, HE Yi3, SU Wei4()   

  1. 1. Kashgar District Center for Disease Control and Prevention in Xinjiang Uygur Autonomous Region, Kashgar 844000,Xinjiang Uygur Autonomous Region, China
    2. Kashgar District Institution for Tuberculosis Control and Prevention in Xinjiang Uygur Autonomous Region
    3. Shanghai Municipal Center for Disease Control and Prevention
    4. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention
  • Received:2023-03-21 Online:2023-04-20 Published:2023-05-04
  • Contact: SU Wei, E-mail: suwei@chinacdc.cn

RichHTML

19

PDF (PC)

283

摘要：

目的 分析新疆维吾尔自治区喀什地区肺结核流行特征及趋势，为制定结核病防控策略及措施提供参考依据。方法 通过中国疾病预防控制信息系统结核病信息管理系统收集2011—2020年新疆喀什地区12个县（市）报告的肺结核患者资料，采用描述流行病学的方法对时间分布、人群分布、地区分布、痰检率、病原学阳性率等情况进行分析。结果 2011—2020年新疆喀什地区累计报告肺结核患者189 416例，年均报告发病率451.29/10万，年报告发病率最低为250.40/10万，最高为806.75/10万，报告发病率呈先升后降的趋势。2011—2020年痰检率和病原学阳性率分别为73.70%~98.37%和11.41%~55.48%。各年龄组中，60岁及以上年龄组报告病例数最多，占61.37%（116 251/189 416）。男性病例数多于女性，男女之比1.01∶1。患者职业以农民占比最高（83.52%，158 741/189 416）。肺结核年均报告发病率前三位的分别为英吉沙县（816.68/10万）、泽普县（643.99/10万）和岳普湖县（516.09/10万）。结论 近年来喀什地区的肺结核疫情呈现先升后降趋势，结核病负担仍然较重。应关注重点人群以及重点县区的结核病防治工作。

关键词: 肺结核, 发病率, 流行特征, 喀什地区

Abstract:

Objective To analyze the epidemic characteristics and trend of pulmonary tuberculosis prevalence in Kashgar region of Xinjiang Uygur Autonomous Region for reference in formulating the prevention and control strategies and measures for tuberculosis. Methods The case data of pulmonary tuberculosis reported in the 12 counties (cities) in Kashgar area from 2011 to 2020 were retrieved through the Tuberculosis Management Information System of China Information System for Disease Control and Prevention. Descriptive epidemiological method was used to statistically analyze the time distribution, sputum detection rate, positive rate in pathogen detection, population and regional distribution. Results In total, 189 416 cases of pulmonary tuberculosis were reported in Kashgar area from 2011 to 2020, with an average incidence being 451.29/100 000 reported annually. The annually reported incidence was minimal 250.40/100 000 and maximal 806.75/100 000. The reported incidence tended to increase initially, and decline later. The rate of sputum test and positive rate in pathogen detection ranged in between 73.70% and 98.37%, 11.41% and 55.48%, respectively from 2011 to 2020. The incidence was the highest in population aged 60 years or over in all age groups, which accounted for 46.91% (88 858/189 416). The incidence was higher in males than in females, with a male to female ratio of 1.01∶1. By occupation, farmers appeared to be affected most (83.52%, 158 741/189 416). The top three annual reported incidence rate of pulmonary tuberculosis were Yingjisha County (816.68/100 000), Zepu County (643.99/100 000) and Yuepuhu County (516.09/100 000). Conclusion Pulmonary tuberculosis in Kashgar region showed an upward trend and then a downward trend, and the burden of tuberculosis was still heavy. The findings suggest that following prevention and control efforts for tuberculosis should be targeted at key population, counties and districts.

Key words: Pulmonary tuberculosis, Incidence rate, Epidemiological characteristics, Kashgar

中图分类号: