Chinese Journal of Antituberculosis ›› 2021, Vol. 43 ›› Issue (6): 562-568.doi: 10.3969/j.issn.1000-6621.2021.06.008
• Original Articles • Previous Articles Next Articles
ZHANG Wei-sheng*, LI De-yang, CHEN Yang-gui, MA Li, YANG Jian-dong, CAO Ming-qin()
Received:
2020-12-03
Online:
2021-06-10
Published:
2021-06-02
Contact:
CAO Ming-qin
E-mail:cmq66@126.com
ZHANG Wei-sheng, LI De-yang, CHEN Yang-gui, MA Li, YANG Jian-dong, CAO Ming-qin. Analysis of the epidemiological characteristics and therapeutic prognosis of new smear-positive pulmonary tuberculosis in Urumqi from 2014 to 2019[J]. Chinese Journal of Antituberculosis, 2021, 43(6): 562-568. doi: 10.3969/j.issn.1000-6621.2021.06.008
Add to citation manager EndNote|Ris|BibTeX
URL: http://www.zgflzz.cn/EN/10.3969/j.issn.1000-6621.2021.06.008
人口特征 | 总例数 | 2014年 | 2015年 | 2016年 | 2017年 | 2018年 | 2019年 | P值 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
性别 | 2.129 | 0.831 | |||||||||||||||
男性 | 1839 (60.71) | 331 (63.29) | 314 (60.74) | 267 (59.47) | 274 (59.83) | 296 (61.03) | 357 (59.80) | ||||||||||
女性 | 1190 (39.29) | 192 (36.71) | 203 (39.26) | 182 (40.53) | 184 (40.17) | 189 (38.97) | 240 (40.20) | ||||||||||
年龄组(岁) | 39.621 | <0.01 | |||||||||||||||
≤45 | 1481 (48.90) | 302 (57.74) | 260 (50.29) | 243 (54.12) | 209 (45.63) | 216 (44.54) | 251 (42.04) | ||||||||||
46~65 | 774 (25.55) | 108 (20.65) | 131 (25.34) | 109 (24.28) | 124 (27.07) | 131 (27.01) | 171 (28.64) | ||||||||||
>65 | 774 (25.55) | 113 (21.61) | 126 (24.37) | 97 (21.60) | 125 (27.30) | 138 (28.45) | 175 (29.32) | ||||||||||
民族 | 7.086 | 0.214 | |||||||||||||||
汉族 | 1773 (58.53) | 319 (60.99) | 318 (61.51) | 265 (59.02) | 250 (54.59) | 283 (58.35) | 338 (56.62) | ||||||||||
少数民族 | 1256 (41.47) | 204 (39.01) | 199 (38.49) | 184 (40.98) | 208 (45.41) | 202 (41.65) | 259 (43.38) | ||||||||||
职业 | 25.943 | <0.01 | |||||||||||||||
其他a | 2596 (85.70) | 432 (82.60) | 420 (81.24) | 380 (84.63) | 396 (86.46) | 437 (90.10) | 531 (88.94) | ||||||||||
农牧民 | 433 (14.30) | 91 (17.40) | 97 (18.76) | 69 (15.37) | 62 (13.54) | 48 (9.90) | 66 (11.06) | ||||||||||
人口特征 | 总例数 | 2014年 | 2015年 | 2016年 | 2017年 | 2018年 | 2019年 | P值 | |||||||||
户籍 | 28.285 | <0.01 | |||||||||||||||
本地人口 | 1725 (56.95) | 297 (56.79) | 315 (60.93) | 289 (64.37) | 269 (58.73) | 252 (51.96) | 303 (50.75) | ||||||||||
非本地人口 | 1304 (43.05) | 226 (43.21) | 202 (39.07) | 160 (35.63) | 189 (41.27) | 233 (48.04) | 294 (49.25) | ||||||||||
患者来源 | 216.948 | <0.01 | |||||||||||||||
追踪 | 1422 (46.95) | 211 (40.34) | 199 (38.50) | 200 (44.54) | 189 (41.27) | 216 (44.54) | 407 (68.17) | ||||||||||
转诊 | 1192 (39.35) | 200 (38.24) | 223 (43.13) | 191 (42.54) | 217 (47.38) | 211 (43.51) | 150 (25.13) | ||||||||||
因症来源 | 370 (12.22) | 106 (20.27) | 91 (17.60) | 56 (12.47) | 43 (9.39) | 53 (10.92) | 21 (3.52) | ||||||||||
其他来源 | 45 (1.48) | 6 (1.15) | 4 (0.77) | 2 (0.45) | 9 (1.96) | 5 (1.03) | 19 (3.18) |
月份 | 2014年(例) | 2015年(例) | 2016年(例) | 2017年(例) | 2018年(例) | 2019年(例) | 合计[例(构成比,%)] |
---|---|---|---|---|---|---|---|
1 | 45 | 57 | 40 | 43 | 30 | 47 | 262(8.65) |
2 | 37 | 33 | 32 | 31 | 29 | 29 | 191(6.31) |
3 | 41 | 52 | 36 | 49 | 35 | 33 | 246(8.12) |
4 | 42 | 51 | 50 | 46 | 42 | 67 | 298(9.84) |
5 | 44 | 34 | 41 | 55 | 40 | 54 | 268(8.85) |
6 | 58 | 49 | 40 | 35 | 44 | 105 | 331(10.93) |
7 | 35 | 53 | 31 | 28 | 50 | 37 | 234(7.73) |
8 | 52 | 31 | 35 | 45 | 58 | 25 | 246(8.12) |
9 | 55 | 32 | 37 | 32 | 49 | 41 | 246(8.12) |
10 | 46 | 47 | 40 | 22 | 45 | 37 | 237(7.82) |
11 | 40 | 47 | 37 | 39 | 40 | 60 | 263(8.78) |
12 | 28 | 31 | 30 | 33 | 23 | 62 | 207(6.83) |
合计 | 523 | 517 | 449 | 458 | 485 | 597 | 3029(100.00) |
所属城区 | 登记数 [例(构成比,%)] | 户籍类型[例(构成比,%)] | χ2值 | P值 | |
---|---|---|---|---|---|
本地人口 | 流动人口 | ||||
中心城区 | 77.261 | <0.01 | |||
高新区 | 625(20.63) | 427(68.32) | 198(31.68) | ||
天山区 | 722(23.84) | 337(46.68) | 385(53.32) | ||
沙依巴克区 | 646(21.33) | 341(52.79) | 305(47.21) | ||
水磨沟区 | 338(11.16) | 154(45.56) | 184(54.44) | ||
小计 | 2331(76.96) | 1259(54.01) | 1072(45.99) | ||
周围城区 | 13.870 | 0.003 | |||
米东区 | 428(14.13) | 300(70.09) | 128(29.91) | ||
头屯河区 | 203(6.70) | 116(57.14) | 87(42.86) | ||
达坂城区 | 23(0.76) | 15(65.22) | 8(34.78) | ||
乌鲁木齐县 | 44(1.45) | 35(79.55) | 9(20.45) | ||
小计 | 698(23.04) | 466(66.76) | 232(33.34) | ||
合计 | 3029(100.00) | 1725(56.95) | 1304(43.05) |
特征 | 患者数(例) | 治疗成功 | 治疗失败 | χ2值 | P值 |
---|---|---|---|---|---|
性别 | 20.186 | <0.01 | |||
男性 | 1839 | 1660(90.27) | 179(9.73) | ||
女性 | 1190 | 1128(94.79) | 62(5.21) | ||
年龄组(岁) | 23.837 | <0.01 | |||
≤45 | 1481 | 1397(94.33) | 84(5.67) | ||
46~65 | 774 | 705(91.09) | 69(8.91) | ||
>65 | 774 | 686(88.63) | 88(11.37) | ||
城区划分 | 5.318 | 0.021 | |||
中心城区 | 2331 | 2160(92.66) | 171(7.34) | ||
周围城区 | 698 | 628(89.97) | 70(10.03) | ||
首诊单位级别 | 7.572 | 0.023 | |||
省级 | 467 | 419(89.72) | 48(10.28) | ||
市级 | 1975 | 1837(93.01) | 138(6.99) | ||
县级 | 587 | 532(90.63) | 55(9.37) | ||
治疗2个月末痰检 | 743.143 | <0.01 | |||
未阴转 | 228 | 185(81.14) | 43(18.86) | ||
阴转 | 2723 | 2593(95.23) | 130(4.77) | ||
未查 | 78 | 10(12.82) | 68(87.18) | ||
治疗管理方式 | 210.656 | <0.01 | |||
强化期督导 | 155 | 96(61.94) | 59(38.06) | ||
全程督导 | 2280 | 2147(94.17) | 133(5.83) | ||
全程管理 | 582 | 536(92.10) | 46(7.90) | ||
自服药 | 12 | 9(75.00) | 3(25.00) | ||
系统管理 | 234.257 | <0.01 | |||
否 | 273 | 186(68.13) | 87(31.87) | ||
是 | 2756 | 2602(94.41) | 154(5.59) |
变量 | β值 | s | Wald χ2值 | P值 | OR值 | 95%CI值 |
---|---|---|---|---|---|---|
性别(以“男性”为参照) | ||||||
女性 | -2.306 | 0.199 | 133.902 | <0.01 | 0.100 | 0.071~0.152 |
年龄组(以“>65岁组”为参照) | ||||||
46~65岁 | -0.324 | 0.214 | 2.281 | <0.01 | 0.453 | 0.302~0.683 |
≤45岁 | -0.797 | 0.206 | 14.966 | 0.131 | 0.724 | 0.481~1.102 |
治疗2个月末痰检(以“未阴转”为参照) | ||||||
阴转 | -1.652 | 0.217 | 57.981 | <0.01 | 0.192 | 0.134~0.292 |
未查 | 3.196 | 0.419 | 58.243 | <0.01 | 24.442 | 10.751~55.533 |
首诊单位级别(以“省级”为参照) | ||||||
市级 | -0.373 | 0.236 | 2.487 | 0.115 | 0.689 | 0.432~1.092 |
县级 | 0.177 | 0.271 | 0.426 | 0.540 | 1.193 | 0.702~2.033 |
[1] | 全国第五次结核病流行病学抽样调查技术指导组, 全国第五次结核病流行病学抽样调查办公室. 2010年全国第五次结核病流行病学抽样调查报告. 中国防痨杂志, 2012,34(8):485-508. |
[2] |
王希江, 王森路, 赵珍. 2010—2017年新疆维吾尔自治区涂阳肺结核患者流行病学特征分析. 结核病与肺部健康杂志, 2019,8(3):209-217. doi: 10.3969/j.issn.2095-3755.2019.03.012.
doi: 10.3969/j.issn.2095-3755.2019.03.012 |
[3] |
应瑞洁, 赵亚波. 2018年乌鲁木齐市法定报告传染病流行特征分析. 疾病预防控制通报, 2020,35(3):52-54. doi: 10.13215/j.cnki.jbyfkztb.2003029.
doi: 10.13215/j.cnki.jbyfkztb.2003029 |
[4] |
尹哲, 贺湘焱, 李奇凤. 2011—2015年新疆维吾尔自治区涂阳肺结核时空格局分析. 中国防痨杂志, 2020,42(6):597-603. doi: 10.3969/j.issn.1000-6621.2020.06.011.
doi: 10.3969/j.issn.1000-6621.2020.06.011 |
[5] | 中华人民共和国国家卫生和计划生育委员会. WS 288—2017 肺结核诊断. 2017-11-09. |
[6] |
Asefa A, Teshome W. Total delay in treatment among smear positive pulmonary tuberculosis patients in five primary health centers, southern ethiopia: A cross sectional study. PLoS One, 2014,9(7):e102884. doi: 10.1371/journal.pone.0102884.
doi: 10.1371/journal.pone.0102884 URL |
[7] | 霍丽丽, 霍春光, 张荣华. 2010—2016年滨州市肺结核登记率变化趋势分析. 社区医学杂志, 2017,15(8):21-24. |
[8] |
刘年强, 王新旗, 王希江. 新疆结核病防治回顾与展望. 疾病预防控制通报, 2020,35(4):80-84. doi: 10.13215/j.cnki.jbyfkztb.2004016.
doi: 10.13215/j.cnki.jbyfkztb.2004016 |
[9] |
魏於家, 马斌忠, 王朝才. 青海省藏族初治涂阳肺结核患者治疗转归情况及影响因素. 中华疾病控制杂志, 2020,24(3):284-289. doi: 10.16462/j.cnki.zhjbkz.2020.03.008.
doi: 10.16462/j.cnki.zhjbkz.2020.03.008 |
[10] |
张广川, 赖铿, 杜雨华, 等. 2014—2019年广州市涂阳肺结核患者流行特征分析. 中国防痨杂志, 2021,43(2):119-125. doi: 10.3969/j.issn.1000-6621.2021.02.004.
doi: 10.3969/j.issn.1000-6621.2021.02.004 |
[11] |
张正斌, 鲁周琴, 谢红. 结核病季节性分布特征及影响因素. 中华流行病学杂志, 2016,37(8):1183-1186. doi: 10.3760/cma.j.issn.0254-6450.2016.08.025.
doi: 10.3760/cma.j.issn.0254-6450.2016.08.025 |
[12] |
姚晶, 顾凯侃, 李智红, 等. 2014—2019年上海市静安区老年与非老年肺结核流行特征对比分析. 中国防痨杂志, 2020,42(12):1323-1328. doi: 10.3969/j.issn.1000-6621.2020.12.014.
doi: 10.3969/j.issn.1000-6621.2020.12.014 |
[13] | 马丽, 古丽娜扎尔·艾克拜尔, 陈阳贵. 涂阳肺结核患者2月末痰菌阳性的影响因素分析. 现代预防医学, 2019,46(8):1487-1489,1493. |
[1] | WANG Huan*, SHEN Xin, CHEN Jing, XIA Zhen, XU Biao, YUAN Zheng-an. Analysis of the epidemiological characteristics of pulmonary tuberculosis among migrants in Shanghai from 2008 to 2019 [J]. Chinese Journal of Antituberculosis, 2021, 43(4): 370-377. |
[2] | ZHANG Guang-chuan, LAI Keng, DU Yu-hua, WU Gui-feng, LEI Yu, SHEN Hong-cheng, YANG Jie-ying, LIN Ying, ZHONG Min-er, ZHONG Zhi-qing, LIU Li, LI Tie-gang. Analysis of epidemiological characteristics of smear-positive tuberculosis patients in Guangzhou from 2014 to 2019 [J]. Chinese Journal of Antituberculosis, 2021, 43(2): 119-125. |
[3] | ZENG Jian-feng, YANG Min, TANG Fang, ZHU Hui-min, CHEN Tao, DENG Guo-fang, ZHANG Pei-ze. Clinical characteristics of pulmonary tuberculosis in hospitalized patients with diabetes mellitus [J]. Chinese Journal of Antituberculosis, 2021, 43(1): 31-35. |
[4] | SU Qian, XIA Yong, LU Jia, WANG Dan-xia, HE Jin-ge. Analysis on the epidemiological characteristics of pulmonary tuberculosis among children aged 0-14 in Sichuan Province from 2009 to 2018 [J]. Chinese Journal of Antituberculosis, 2020, 42(9): 942-947. |
[5] | DENG Ya-li, ZHANG Tian-hua, LIU Wei-ping, ZHANG Hong-wei, MA Yu, LI Peng.. Temporal and spatial clustering analysis of pulmonary tuberculosis incidence in Shaanxi Province from 2014 to 2018 [J]. Chinese Journal of Antituberculosis, 2020, 42(9): 948-955. |
[6] | DONG Xiao, ZHAO Zhen, LIU Nian-qiang, WANG Sen-lu, CUI Yan. Analysis of the finding characteristics of pulmonary tuberculosis in the elderly population in Xinjiang Uygur Autonomous Region during 2009—2017 [J]. Chinese Journal of Antituberculosis, 2020, 42(9): 956-961. |
[7] | LAI Keng, LEI Yu, DU Yu-hua, WU Gui-feng, XIE Wei, SHEN Hong-cheng, ZHONG Zhi-qing, LI Tie-gang. Spatial-temporal analysis on tuberculosis among students in Guangzhou City during 2014-2018 [J]. Chinese Journal of Antituberculosis, 2020, 42(6): 590-596. |
[8] | YIN Zhe, HE Xiang-yan, LI Qi-feng, LIU Ya-jie, ZHANG Yan, LI De-yang, Jiayina· Lazibieke, Gulinazhaer· Aikebaier, CAO Ming-qin. Spatial-temporal analysis of smear-positive pulmonary tuberculosis in Xinjiang Uygur Autonomous Region from 2011 to 2015 [J]. Chinese Journal of Antituberculosis, 2020, 42(6): 597-603. |
[9] | XIAO Xiao, CHEN Jing, LI Xiang-qun, XIA Zhen, LUAN Rui-rong, RAO Li-xin, SHEN Xin. Analysis of the epidemiological characteristics of tuberculosis students in Shanghai from 2009 to 2017 [J]. Chinese Journal of Antituberculosis, 2020, 42(5): 498-502. |
[10] | SHEN Hong-cheng,DU Yu-hua,WU Gui-feng,LEI Yu,LI Tie-gang,LIU Jian-xiong. Epidemiological characteristics of newly reported pulmonary tuberculosis from 2008 to 2018 in Guangzhou [J]. Chinese Journal of Antituberculosis, 2020, 42(4): 322-326. |
[11] | LAI Keng,WU Gui-feng,LEI Yu,XIE Wei,WANG Ting,ZHONG Min-er,DU Yu-hua. Analysis of spatial distribution characteristics of tuberculosis in Guangzhou from 2014 to 2018 [J]. Chinese Journal of Antituberculosis, 2020, 42(4): 327-334. |
[12] | LI Jin,GUO Xiao-qin,LI Yong,ZOU Jin-yan,LU Li-ping. Analysis on the effect of active screening of tuberculosis among local people aged 65 or older in Songjiang District of Shanghai in 2018 [J]. Chinese Journal of Antituberculosis, 2020, 42(4): 353-359. |
[13] | YAO Jing, GU Kai-kan, LI Zhi-hong, HAN Zhi-ying, ZHANG Huai-qing. A comparative analysis of the epidemic characteristics of tuberculosis in elderly and non-elderly in Jing’an District, Shanghai from 2014 to 2019 [J]. Chinese Journal of Antituberculosis, 2020, 42(12): 1323-1328. |
[14] | Qing-chun LI,Min LU,Li-min WU,Le WANG,Meng WANG,Ke WANG,Yi-fei WU,Li XIE. Analysis of sputum culture conversion at the end of 6 months and related risk factors among multidrug-resistant tuberculosis patients [J]. Chinese Journal of Antituberculosis, 2019, 41(8): 869-875. |
[15] | Nian-qiang LIU,Zhen ZHAO, ,Xi-jiang WANG,Yan CUI. Analysis on epidemiological characteristics of bacterium-positive pulmonary tuberculosis in Xinjiang Uygur Autonomous Region from 2008 to 2017 [J]. Chinese Journal of Antituberculosis, 2019, 41(7): 727-730. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||