摘要
目的分析苏南地区流动人口肺结核流行特征及变化趋势,探讨流动人口对当地肺结核疫情的影响,为制定流动人口肺结核防控措施提供科学依据。方法收集苏南3地市2007-2010年的流动人口和本地人口肺结核的监测报表和病案等资料,将所有资料导入Excel 2003,建立数据库。用SPSS 11.0进行统计分析。结果苏南地区流动人口活动性肺结核病人数4年期间增加了77.0%,年递增21.0%,而同期当地人口活动性肺结核病人数减少了32.9%。流动人口中15~54岁肺结核病人占流动人口总病人的89.0%,而55岁及以上只占10.8%;本地人口中15~54岁肺结核病人只占总病人数的52.1%,而55岁及以上占47.6%。流动人口肺结核患者系统管理率为94.7%、成功治疗率为92.0%,明显低于当地人口,但流动人口患者的丢失率为2.3%,明显高于当地人口。4年间苏南3市总的肺结核病人数量下降了5.3%,下降幅度明显低于江苏省其他地区的15.4%;但是本地人口活动性肺结核病人数4年期间减少了32.9%,其下降的幅度明显高于江苏省其他地区。结论流动人口肺结核患者的增加是苏南地区肺结核数量居高不下的主要原因。应该采取切实措施,控制流动人口肺结核疫情的发展势头。
Objective To analyze epidemical characteristic and variation tendency of tuberculosis（TB） among migrant population in south Jiangsu Province,and investigate its influence on local TB epidemic situation,so as to provide scientific advices for migrant population TB control.Methods Data including monitoring report forms and case records of migrant and local TB patients in the 3 cities of south Jiangsu Province from 2007 to 2010 were collected,and all the data were input into Excel 2003 to set up a database,then the data was analyzed with SPSS 11.0.Results The migrant TB patients was increased by 77.0%（21.0% per year） during last four years in this area,while the local TB patients was decreased by 32.9% during the same period.89.0% of the migrant cases were between 15 and 54 years,while only 10.8% were above 55 years old;however,only 52.1% of local tuberculosis patients were between 15 and 54 years old and 47.6% of local tuberculosis patients were above 55 years.The rate of system management and treatment success for migrant patients was 94.7% and 92.0% respectively,obviously lower than that of local patients.The default rate of migrant patients was 2.3%,obviously higher than that of local patients.The general TB epidemic was decreased by 5.3% during last four years in this area,obviously lower than that of other areas（15.4%） in Jiangsu Province.However,the local patients were decreased by 32.9% in south Jiangsu Province during last four years,which was obviously higher than that of other areas of Jiangsu Province.Conclusions The TB epidemic situation among migrant population has become an important public health problem in south Jiangsu Province.The increase of migrant patients is the main reason.In order to control the situation,the migrant population TB control should be strengthened.
出处
《中华疾病控制杂志》
CAS
2011年第11期975-977,共3页
Chinese Journal of Disease Control & Prevention
关键词
结核
肺
居住流动性
人群监测
Tuberculosis
pulmonary
Residential mobility
Population surveillance
