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, 2021, 36(12): 1308-1311. DOI: 10.3784/jbjc.202101270049
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, 2021, 36(12): 1308-1311. DOI: 10.3784/jbjc.202101270049
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, 2021, 36(12): 1308-1311. DOI: 10.3784/jbjc.202101270049
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, 2021, 36(12): 1308-1311. DOI: 10.3784/jbjc.202101270049

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

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

  • 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。

     

    Abstract:
      Objective  To analyze the demographic and clinical characteristics of pulmonary tuberculosis (TB) cases detected through active screening in elderly population in rural area of Quzhou, Zhejiang province and discuss the prevention and control strategies of pulmonary TB.
      Methods  In physical examination for rural residents, chest X-ray examinations were performed for elderly people aged 65 years and over in rural area of Quzhou. Descriptive epidemiological analyses were conducted for the pulmonary TB cases detected in the elderly in the active screening.
      Results  A total of 186 096 people were actively screened and 174 cases of active TB were detected, with a detection rate of 93.50/100 000. Among elderly pulmonary TB cases, 66.67% were pathogenic positive, 30.46% showed cavities in the lungs on imaging examination, 42.53% had clinical symptoms of pulmonary TB, and 68.39% had no chest imaging in the past 5 years. There were significant differences in the detection rate of pulmonary TB and the age specific positive rates of the pathogen between men and women.
      Conclusion  It is necessary to include chest X-ray examination in the basic elderly health management services in areas with high prevalence of pulmonary TB in the elderly. Active screening, can facilitate the early detection TB cases in elderly population to prevent further transmission.

     

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