Chinese Journal of Antituberculosis ›› 2023, Vol. 45 ›› Issue (9): 857-863.doi: 10.19982/j.issn.1000-6621.20230166
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Tian Xiaomei, Sha Xiaolan, Liu Ye, Liu Guangtian, Lei Juan()
Received:
2023-05-17
Online:
2023-09-10
Published:
2023-09-01
Contact:
Lei Juan,Email:Supported by:
CLC Number:
Tian Xiaomei, Sha Xiaolan, Liu Ye, Liu Guangtian, Lei Juan. An analysis of the epidemic characteristics and treatment outcomes of tuberculosis patients aged ≥65 years old in Ningxia Hui Autonomous Region from 2019 to 2022[J]. Chinese Journal of Antituberculosis, 2023, 45(9): 857-863. doi: 10.19982/j.issn.1000-6621.20230166
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年份 | 全人群 | ≥65岁 | |||||||
---|---|---|---|---|---|---|---|---|---|
患者 例数 | 病原学 阳性患者 例数 | 人口数 (万) | 活动性肺结核 | 病原学阳性 | |||||
患者 例数 | 登记率 (10万) | 占全人群患 者比例(%) | 患者 例数 | 登记率 (10万) | 占全人群病原学 阳性患者比例(%) | ||||
2019 | 2396 | 1310 | 62.67 | 864 | 137.87 | 36.06 | 543 | 86.64 | 41.45 |
2020 | 1880 | 1158 | 67.32 | 725 | 107.69 | 38.56 | 516 | 76.65 | 44.56 |
2021 | 1785 | 1060 | 69.28 | 809 | 116.77 | 45.32 | 516 | 74.48 | 48.68 |
2022 | 1664 | 936 | 76.06 | 757 | 99.53 | 45.49 | 474 | 62.32 | 50.64 |
合计 | 7725 | 4464 | 275.33 | 3155 | 114.59 | 40.84 | 2049 | 74.42 | 45.90 |
47.824 | 56.440 | 28.020 | 23.053 | ||||||
P值 | 0.000 | 0.000 | 0.000 | 0.000 |
临床特征 | ≥65岁(3155例) | <65岁(4570例) | χ2值 | P值 |
---|---|---|---|---|
性别 | 135.495 | 0.000 | ||
男性 | 1469(46.56) | 2741(59.98) | ||
女性 | 1686(53.44) | 1829(40.02) | ||
诊断类型 | 138.402 | 0.000 | ||
病原学阳性 | 2049(64.94) | 2415(52.84) | ||
病原学阴性 | 1023(32.43) | 1858(40.66) | ||
未查痰 | 8(0.25) | 21(0.46) | ||
单纯结核性胸膜炎 | 75(2.38) | 276(6.04) | ||
治疗类型 | 7.987 | 0.005 | ||
初治 | 2947(93.41) | 4338(94.92) | ||
复治 | 208(6.59) | 232(5.08) | ||
发现方式 | 99.856 | 0.000 | ||
直接就诊 | 578(18.32) | 890(19.47) | ||
推介 | 119(3.77) | 102(2.23) | ||
转诊 | 1516(48.05) | 2141(46.85) | ||
追踪 | 910(28.84) | 1241(27.16) | ||
健康体检 | 14(0.45) | 164(3.59) | ||
主动筛查 | 18(0.57) | 32(0.70) |
地区 | 2019年 | 2020年 | 2021年 | 2022年 | 合计 | P值 | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
患者 例数 | 老年患 者例数 | 占比 (%) | 患者 例数 | 老年患 者例数 | 占比 (%) | 患者 例数 | 老年患 者例数 | 占比 (%) | 患者 例数 | 老年患 者例数 | 占比 (%) | 患者 例数 | 老年患 者例数 | 占比 (%) | |||
银川市 | 752 | 223 | 29.65 | 575 | 200 | 34.78 | 558 | 230 | 41.22 | 494 | 204 | 41.30 | 2379 | 857 | 36.02 | 26.113 | 0.000 |
石嘴山市 | 253 | 95 | 37.55 | 204 | 86 | 42.16 | 201 | 96 | 47.76 | 173 | 90 | 52.02 | 831 | 367 | 44.16 | 10.210 | 0.017 |
吴忠市 | 513 | 223 | 43.47 | 452 | 199 | 44.03 | 392 | 197 | 50.26 | 325 | 164 | 50.46 | 1682 | 783 | 46.55 | 7.274 | 0.064 |
固原市 | 393 | 103 | 26.21 | 310 | 89 | 28.71 | 300 | 106 | 35.33 | 300 | 119 | 39.67 | 1303 | 417 | 32.00 | 17.234 | 0.001 |
中卫市 | 485 | 220 | 45.36 | 339 | 151 | 44.54 | 334 | 180 | 53.89 | 372 | 180 | 48.39 | 1530 | 731 | 47.78 | 7.617 | 0.055 |
合计 | 2396 | 864 | 36.06 | 1880 | 725 | 38.56 | 1785 | 809 | 45.32 | 1664 | 757 | 45.49 | 7725 | 3155 | 40.84 | 121.947 | 0.000 |
职业 | 2019年 | 2020年 | 2021年 | 2022年 | 合计 | |||||
---|---|---|---|---|---|---|---|---|---|---|
例数 | 构成比(%) | 例数 | 构成比(%) | 例数 | 构成比(%) | 例数 | 构成比(%) | 例数 | 构成比(%) | |
农民 | 683 | 79.05 | 523 | 72.14 | 588 | 72.68 | 521 | 68.83 | 2315 | 73.38 |
离退休人员 | 90 | 10.42 | 90 | 12.41 | 96 | 11.87 | 100 | 13.21 | 376 | 11.92 |
家务及待业 | 86 | 9.95 | 108 | 14.90 | 120 | 14.83 | 133 | 17.57 | 447 | 14.17 |
不详 | 0 | 0.00 | 1 | 0.14 | 1 | 0.12 | 1 | 0.13 | 3 | 0.10 |
其他 | 3 | 0.35 | 2 | 0.27 | 3 | 0.38 | 2 | 0.26 | 10 | 0.31 |
工人 | 2 | 0.23 | 1 | 0.14 | 0 | 0.00 | 0 | 0.00 | 3 | 0.10 |
牧民 | 0 | 0.00 | 0 | 0.00 | 1 | 0.12 | 0 | 0.00 | 1 | 0.03 |
合计 | 864 | 100.00 | 725 | 100.00 | 809 | 100.00 | 757 | 100.00 | 3155 | 100.00 |
年份 | ≥65岁 | <65岁 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
患者 例数 | 治愈 例数 | 完成疗 程例数 | 诊断变 更例数 | 转入耐多药 治疗例数 | 治疗成功 率(%) | 患者 例数 | 治愈 例数 | 完成疗 程例数 | 诊断变 更例数 | 转入耐多药 治疗例数 | 治疗成功 率(%) | |
2019 | 864 | 430 | 308 | 12 | 16 | 88.28 | 1532 | 644 | 781 | 10 | 36 | 95.89 |
2020 | 725 | 425 | 219 | 4 | 17 | 91.48 | 1155 | 532 | 528 | 5 | 41 | 95.58 |
2021 | 809 | 437 | 283 | 13 | 16 | 92.31 | 976 | 476 | 435 | 12 | 21 | 96.61 |
合计 | 2398 | 1292 | 810 | 29 | 49 | 90.60 | 3663 | 1652 | 1744 | 27 | 98 | 95.99 |
[1] |
Rajagopalan S. Tuberculosis in older adults. Clin Geriatr Med, 2016, 32(3):479-491. doi:10.1016/j.cger.2016.02.006.
doi: 10.1016/j.cger.2016.02.006 pmid: 27394018 |
[2] |
王前, 李涛, 杜昕, 等. 2015—2019年全国肺结核报告发病情况分析. 中国防痨杂志, 2021, 43(2):107-112. doi:10.3969/j.issn.1000-6621.2021.02.002.
doi: 10.3969/j.issn.1000-6621.2021.02.002 |
[3] |
蒋骏, 张晓龙, 王斐娴, 等. 老年初治肺结核患者就诊延迟的影响因素分析. 预防医学, 2020, 32(6):612-614,617. doi:10.19485/j.cnki.issn2096-5087.2020.06.018.
doi: 10.19485/j.cnki.issn2096-5087.2020.06.018 |
[4] |
Zhang CY, Zhao F, Xia YY, et al. Prevalactive pulmonary tuberculosis among elderly people in China:a population based cross-sectional study. Infect Dis Poverty, 2019, 8(1):7. doi:10.1186/s40249-019-0515-y.
doi: 10.1186/s40249-019-0515-y |
[5] |
陈柳燕, 李萍, 周建虎, 等. 2014—2019年银川市老年人肺结核流行特征分析. 宁夏医学杂志, 2021, 43(9):858-860. doi:10.13621/j.1001-5949.2021.09.0858.
doi: 10.13621/j.1001-5949.2021.09.0858 |
[6] |
滕人聪, 李涛, 李玉红, 等. 2015—2021年全国 65岁及以上老年肺结核患者登记情况分析. 中国防痨杂志, 2023, 45(4):367-371. doi:10.19982/j.issn.1000-6621.20220494.
doi: 10.19982/j.issn.1000-6621.20220494 |
[7] |
张灿有, 陈卉, 张慧, 等. 2011—2020年全国65岁及以上老年人肺结核报告发病情况分析. 中华疾病控制杂志, 2022, 26(11):1252-1258. doi:10.16462/j.cnki.zhjbkz.2022.11.003.
doi: 10.16462/j.cnki.zhjbkz.2022.11.003 |
[8] |
鲁周琴, 张正斌, 王晓君, 等. 2016—2020年武汉市老年肺结核疫情特征分析. 公共卫生与预防医学, 2023, 34(1):35-38. doi:10.3969/j.issn.1006-2483.2023.01.008.
doi: 10.3969/j.issn.1006-2483.2023.01.008 |
[9] |
王彦富, 刘畅, 孙彦波, 等. 2009—2018 年老年肺结核流行特征分析. 中国公共卫生管理, 2019, 35(6):745-748. doi:10.19568/j.cnki.23-1318.2019.06.007.
doi: 10.19568/j.cnki.23-1318.2019.06.007 |
[10] |
单灵莺, 刘艳, 王胜难, 等. 上海市普陀区2010—2019 年老年人肺结核特征分析. 健康教育与健康促进, 2021, 16(4):363-366. doi:10.16117/j.cnki.31-1974/r.202104363.
doi: 10.16117/j.cnki.31-1974/r.202104363 |
[11] |
Vassall A, Siapka M, Foster N, et al. Cost-effectiveness of Xpert MTB/RIF for tuberculosis diagnosis in South Africa: a real-world cost analysis and economic evaluation. Lancet Glob Health, 2017, 5(7):e710-e719. doi:10.1016/S2214-109X(17)30205-X.
doi: 10.1016/S2214-109X(17)30205-X pmid: 28619229 |
[12] | 熊光初, 罗东, 宴亮, 等. 江西地区耐多药结核患者特征及危险因素分析. 中国卫生检验杂志, 2017, 27(22): 3193-3195,3199. |
[13] |
林相, 陈同, 梅秋红, 等. 2010—2015 年浙江省宁波市 60 岁以上人群肺结核流行特征分析. 疾病监测, 2017, 32(1):48-51. doi:10.3784/j.issn.1003-9961.2017.01.013.
doi: 10.3784/j.issn.1003-9961.2017.01.013 |
[14] |
李瑾, 郭晓芹, 李勇, 等. 2018 年上海市松江区本市户籍≥65岁老年人口肺结核主动筛查及其效果分析. 中国防痨杂志, 2020, 42(4):353-359. doi:10.3969/j.issn.1000-6621.2020.04.010.
doi: 10.3969/j.issn.1000-6621.2020.04.010 |
[15] |
张艳秋, 蒋建国, 要玉霞, 等. 河南省公众结核病核心信息知晓情况分析. 中国健康教育, 2018, 34(2):130-133. doi:10.16168/j.cnki.issn.1002-9982.2018.02.008.
doi: 10.16168/j.cnki.issn.1002-9982.2018.02.008 |
[16] |
刘娜. 农村居民肺结核病防治知信行现状及影响因素分析. 中国农村卫生, 2019, 11(5):14-16. doi:10.3969/j.issn.1674-361X.2019.05.009.
doi: 10.3969/j.issn.1674-361X.2019.05.009 |
[17] |
方兰君, 吴惠忠, 周芳静, 等. 养老机构老年人结核病筛查及核心知识知晓情况调查. 结核与肺部疾病杂志, 2021, 2(4):340-345. doi:10.3969/j.issn.2096-8493.202110096.
doi: 10.3969/j.issn.2096-8493.202110096 |
[18] |
张正斌, 王丽娜, 鲁周琴, 等. 2011—2019 年武汉市肺结核疫情特征及空间聚集性分析. 公共卫生与预防医学, 2020, 31(6):51-55. doi:10.3969/j.issn.1006-2483.2020.06.012.
doi: 10.3969/j.issn.1006-2483.2020.06.012 |
[19] |
吴塔娜, 李玉红, 刘小秋. 依托基本公共卫生服务对老年人开展肺结核主动筛查策略的可行性研究. 中国防痨杂志, 2023, 45(4):372-376. doi:10.19982/j.issn.1000-6621.20220400.
doi: 10.19982/j.issn.1000-6621.20220400 |
[20] |
姚晶, 顾凯侃, 李智红, 等. 2017—2019 年上海市静安区重点人群结核筛查情况分析. 健康教育与健康促进, 2020, 15(5):560-563. doi:10.16117/j.cnki.31-1974/r.202005029.
doi: 10.16117/j.cnki.31-1974/r.202005029 |
[21] |
许婕, 陈志华, 张灿有. 有整合基本公共卫生服务项目加强老年肺结核的主动筛查. 结核病与肺部健康杂志, 2018, 7(3):167-170. doi:10.3969/j.issn.2095-3755.2018.03.004.
doi: 10.3969/j.issn.2095-3755.2018.03.004 |
[22] |
高磊, 金奇. 关口前移:再谈结核分枝杆菌潜伏感染管理和暴露后干预. 中国防痨杂志, 2021, 43(3):201-203. doi:10.3969/j.issn.1000-6621.2021.03.002.
doi: 10.3969/j.issn.1000-6621.2021.03.002 |
[23] |
彭新祥, 熊敦兵. 415例老年肺结核患者发病情况流行病学分析. 中国初级卫生保健, 2022, 36(9):79-81,85. doi:10.3969/j.issn.1001-568X.2022.09.0022.
doi: 10.3969/j.issn.1001-568X.2022.09.0022 |
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