浙江省衢州市农村老年人大规模主动筛查发现的肺结核病例特征分析

王炜 郝晓刚 祝平

王炜, 郝晓刚, 祝平. 浙江省衢州市农村老年人大规模主动筛查发现的肺结核病例特征分析[J]. 疾病监测.
引用本文: 王炜, 郝晓刚, 祝平. 浙江省衢州市农村老年人大规模主动筛查发现的肺结核病例特征分析[J]. 疾病监测.
Wang Wei, Hao Xiaogang, Zhu Ping. Characteristics of tuberculosis cases detected by large-scale active screening in the elderly in rural area of Quzhou, Zhejiang[J]. Disease Surveillance.
Citation: Wang Wei, Hao Xiaogang, Zhu Ping. Characteristics of tuberculosis cases detected by large-scale active screening in the elderly in rural area of Quzhou, Zhejiang[J]. Disease Surveillance.

浙江省衢州市农村老年人大规模主动筛查发现的肺结核病例特征分析

详细信息
    作者简介:

    王炜,男,浙江省柯城区人,主任医师,本科,研究方向:疾病控制,Email:wangeeee@163.com

    通讯作者:

    郝晓刚,Tel:0570-3031200,Email:495881441@qq.com

  • 中图分类号: R211; R512

Characteristics of tuberculosis cases detected by large-scale active screening in the elderly in rural area of Quzhou, Zhejiang

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  • 摘要:   目的  通过对主动筛查发现的肺结核病例的农村老年人群特征和临床特点进行分析,探讨肺结核病防制对策。  方法  结合农村居民健康体检,对浙江省衢州市农村≥65岁老年人进行胸部X线片检查。对主动筛查发现的老年肺结核病例特征进行描述性分析。  结果  共主动筛查186 096人,检出活动性肺结核174例,检出率为93.50/10万。老年肺结核病例中有66.67%病原学阳性,30.46%影像学检查发现有肺部空洞,42.53%出现肺结核病相关临床症状,68.39%近5年内未曾有过胸部影像学检查。不同性别肺结核病检出率、不同性别不同年龄病例的病原学阳性率比较,差异有统计学意义(P < 0.05)。  结论  有必要在老年肺结核病高疫情地区基本公共卫生老年人健康管理服务项目中增加X线片检查项目,通过主动筛查,尽早发现老年肺结核病患者,从而减少传播。
  • 表  1  衢州市6个县(市、区)肺结核报告发病率

    Table  1.   Reported incidence rate of pulmonary TB in 6 counties(district)

    县(市、区)筛查数肺结核发现数检出率(/10万)2019年肺结核报告发病率(/10万)
    柯城区21 5961464.8346.20
    衢江区21 4981674.4365.22
    常山县30 19953175.50105.92
    开化县28 47135122.9387.45
    龙游县27 613828.9753.63
    江山市56 7194884.6368.01
    合计186 09617493.5066.95
    下载: 导出CSV

    表  2  衢州市不同性别和年龄组老年人肺结核检出情况

    Table  2.   Gender and age specific detections of pulmonary TB in the elderly in Quzhou

    年龄组(岁)
    男性女性总计
    筛查数病例数检出率(/10万)筛查数病例数检出率(/10万)筛查数病例数检出率(/10万)
    65~32 89449148.9640 9161843.9973 8106790.77
    70~27 16641150.9230 381826.3357 5474985.15
    75~13 60725183.7313 568214.7427 1752799.36
    80~9 19616173.998 716557.3717 91221117.24
    85~4 5809196.515 071119.729 65110103.62
    合计87 444140160.1098 6523434.46186 09617493.50
    下载: 导出CSV

    表  3  衢州市不同性别和年龄组老年肺结核病例病原学检测情况

    Table  3.   Gender and age specific etiological detection of pulmonary TB cases in the elderly in Quzhou

    年龄组(岁)
    男性女性总计
    病例数阳性数病原学阳性率(%)病例数阳性数病原学阳性率(%)病例数阳性数病原学阳性率(%)
    65~493061.2218633.33673653.73
    70~413278.048450.00493673.47
    75~251872.00200.00271866.67
    80~161275.005480.00211676.19
    85~99100.0011100.001010100.00
    合计14010172.14341544.1217411666.67
    下载: 导出CSV

    表  4  衢州市不同性别和年龄组老年肺结核病例胸部影像学检查空洞情况

    Table  4.   Gender and age specific cavity detection in chest imaging of pulmonary TB cases in the elderly in Quzhou

    年龄组(岁)男性女性总计
    病例数(例)有空洞人数比例(%)病例数有空洞人数比例(%)病例数有空洞人数比例(%)
    65~491734.6918316.67672029.85
    70~411024.39800.00491020.41
    75~251144.002150.00271244.44
    80~16743.755240.0021942.86
    85~9222.22100.0010220.00
    合计1404733.5734617.651745330.46
    下载: 导出CSV

    表  5  衢州市不同性别和年龄组老年肺结核病例近5年胸部影像学检查情况

    Table  5.   Gender and age specific chest imaging examination results of pulmonary TB cases in the elderly in Quzhou in recent 5 years

    年龄组(岁)
    男性女性总计
    病例数近5年曾有过胸部影像学检查(例)比例(%)病例数近5年曾有过胸部影像学检查(例)比例(%)病例数近5年曾有过胸部影像学检查(例)比例(%)
    65~492040.8218527.78672537.31
    70~411229.278225.00491428.57
    75~25936.00200.0027933.33
    80~16318.755240.0021523.81
    85~9222.22100.0010220.00
    合计1404632.8634926.471745531.61
    下载: 导出CSV
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  • 收稿日期:  2021-01-27
  • 网络出版日期:  2021-06-30

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