2010～2014年菏泽市老年结核病患病情况分析.docVIP

2010～2014年菏泽市老年结核病患病情况分析 　　[摘要] 目的 探讨菏泽市老年人结核病流行趋势，为进一步制订防治措施提供依据。 方法 收集2010～2014年菏泽市结核病信息管理系统报告登记发病资料，采用描述性流行病学方法，统计分析65岁及以上老年人结核病的发病特征及流行趋势。 结果 2010～2014年全市65岁及以上老年结核病患者报告登记4147例，年平均登记率为6.80/10万，2010年老年结核病登记率最高，为10.31/10万，2013年最低，为5.56/10万。每年4～6月和10～12月为报告发病高峰期。老年结核病例报告登记率居前3位的县区是单县、郓城县和定陶县；老年结核病的男女性别比为4.25∶1；65～75岁年龄组老年结核病发病数最多，占报告登记总数的65.28%。 结论 菏泽市老年结核病疫情呈现下降的趋势，说明老年结核病防控工作取得一定成效。但随着社会老龄化的加剧，老年结核病防控形势依然严峻。相关部门应进一步落实肺结核健康管理纳入基本公共卫生服务的工作要求，加强结防机构和基层公共卫生的沟通和合作，做好老年人结核病筛查，提高老年患者的发现率，进一步降低患病率。 　　[关键词] 老年患者；结核病；荷泽市 　　[中图分类号] R521 [文献标识码] A [文章编号] 1673-7210（2016）04（b）-0056-04 　　[Abstract] Objective To investigate the trend of tuberculosis epidemic among the aged in Heze City， in order to provide the basis for further formulating prevention and control measures. Methods By the method of descriptive epidemiology， the reported characteristics and trends of tuberculosis among the aged （≥65 years old） were analyzed from tuberculosis incidence data management information system from 2010 to 2014 in Heze. Results From 2010 to 2014 in Heze， the reported average annual incidence of tuberculosis patients among the aged was 6.80/100 000， reported 4147 cases， and the highest incidence was 10.31/100 000 in 2010， the lowest incidence was 5.56/100 000 in 2013. Every year， the reported incidence peak was from April to June and from October to December. The top three tuberculosis incidence counties of the aged were Shanxian， Yuncheng and Dingtao. Sex ratio of the aged patients was 4.25∶1. The tuberculosis incidence of patients aged 65-75 years was ranked the first， accounted for 65.28%. Conclusion The tuberculosis epidemic among the aged presents a descending trend in Heze City， indicates that the prevention and control of tuberculosis in the aged has achieved certain effectiveness. But with an ageing society， tuberculosis prevention and control situation in the aged is still severe. The relevant departments should further implement the work requirements of bringing the tuberc