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中国防痨杂志 ›› 2023, Vol. 45 ›› Issue (6): 594-600.doi: 10.19982/j.issn.1000-6621.20220502

• 论著 • 上一篇    下一篇

2012—2021年北京市通州区流动人口肺结核流行特征及治疗转归分析

杨超(), 王晶(), 唐桂林, 耿洋   

  1. 北京市通州区疾病预防控制中心结核病防治所,北京 101100
  • 收稿日期:2022-12-22 出版日期:2023-06-10 发布日期:2023-06-06
  • 通信作者: 杨超,E-mail:tzjfs2008yangchao@126.com;王晶,E-mail:wjjw8306@163.com

Analysis of epidemiological characteristics and treatment outcomes of pulmonary tuberculosis patients in floating population in Tongzhou District of Beijing, 2012—2021

Yang Chao(), Wang Jing(), Tang Guilin, Geng Yang   

  1. Institute of Tuberculosis Prevention and Control, Tongzhou District Center for Disease Prevention and Control, Beijing 101100, China
  • Received:2022-12-22 Online:2023-06-10 Published:2023-06-06
  • Contact: Yang Chao,E-mail:tzjfs2008yangchao@126.com;Wang Jing,E-mail:wjjw8306@163.com

摘要:

目的: 分析2012—2021年北京市通州区流动人口肺结核流行特征及治疗转归特点,为通州区制订结核病防治策略提供参考。方法: 通过“中国疾病预防控制信息系统”的子系统“结核病信息管理系统”收集北京市通州区2012—2021年3202例流动人口肺结核患者的资料,包括性别、年龄、职业、患者来源、治疗分类、治疗转归等信息,运用描述性统计方法分析患者特征、治疗和转归,应用季节指数对时间序列进行季节效应分析。结果: 2012—2021年北京市通州区共登记4996例肺结核患者,其中流动人口肺结核患者3202例,占64.09%。流动人口肺结核登记率从2012年的34.48/10万上升到2016年的62.36/10万( χ 2=32.913,P<0.001),再下降到2021年的37.80/10万( χ 2=15.061,P<0.001);男女性别比为1.75∶1,年龄以15~44岁中青年为主[79.17%(2535/3202)];职业以家务及待业为主[41.41%(1326/3202)];患者来源以综合医院转诊为主[65.46%(2096/3202)],普遍存在就诊延迟[37.76%(1209/3202)];来自河北省[22.49%(720/3202)]和黑龙江省[9.81%(314/3202)]的患者最多。所有患者均进行全程督导管理,总体治疗成功率为94.38%(3022/3202),丢失85例(2.65%),死亡12例(0.37%),转入耐多药治疗36例(1.12%)。结论: 北京市通州区流动人口肺结核患者以男性青壮年为主,职业以家务及待业为主,就诊延迟率高,地区分布有差异,应针对流行特征制定相应的防控策略。

关键词: 结核,肺, 流动人口, 治疗结果, 流行特征(主题)

Abstract:

Objective: To analyze the characteristics and treatment outcomes of pulmonary tuberculosis (PTB) in floating population in Tongzhou District of Beijing, so as to provide reference for formulating TB prevention and control strategies. Methods: Data of 3202 PTB cases of floating population in Tongzhou District of Beijing from 2012 to 2021 was collected through Tuberculosis Management Information System of China Information System for Disease Control and Prevention, which included gender, age, occupation, case source, treatment classification, treatment outcomes and so on. Descriptive statistics was used to analyze the patients’ characteristics, treatment and outcomes. The seasonal effect of time series was analyzed by using seasonal index. Results: From 2012 to 2021, a total of 4996 cases of PTB patients were registered in Tongzhou District of Beijing, among which 3202 cases were from floating population, accounting for 64.09% of total cases. The incidence of PTB patients of floating population increased from 34.48/100000 in 2012 to 62.36/100000 in 2016 ( χ t r e n d 2=32.913,P<0.001), and then decreased to 37.80/100000 in 2021 ( χ t r e n d 2=15.061,P<0.001). The male-female ratio of patients was 1.75∶1. The main age group was 15-44 years old (79.17% (2535/3202)). The main occupation was housekeepers/unemployed people (41.41% (1326/3202)). The main source of patients was people refered from general hospitals (65.46% (2096/3202)), and the patients were generally delayed for health care visit (37.76% (1209/3202)). Most patients came from Hebei Province (22.49% (720/3202)) and Heilongjiang Province (9.81% (314/3202)). All patients received full-course supervision and management. The overall treatment success rate was 94.38% (3022/3202), while 85 cases (2.65%) defaulted, 12 cases (0.37%) died, and 36 cases (1.12%) developed multidrug-resistant TB. Conclusion: The epidemic of PTB among the floating population in Tongzhou District of Beijing were mainly male, young adults, housekeepers/unemployed and had high visit delay rates and differenciated regional distribution, thus corresponding prevention and control strategies should be formulated according to these epidemic characteristics.

Key words: Tuberculosis, pulmonary, Floating population, Treatment outcome, Epidemiological characteristics (topic)

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