Zhang C, Zhuoga R Z G, Sangmu L S M, Zhong B, Zhao X Q, Ouyang H W, Deng S M, Zhuoma W Z M
Department of Cardiology, The Sixth Medical Center of PLA General Hospital,Beijing 100037, China Department of Internal Medicine, Motuo County People's Hospital,Motuo 860700, China.
Department of Infection, Motuo County People's Hospital,Motuo 860700, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2023 Aug 6;57(8):1160-1163. doi: 10.3760/cma.j.cn112150-20221229-01232.
To analyze the epidemiological characteristics of pulmonary tuberculosis (PTB) in Motuo County from 2012 to 2021 and provide evidence for the prevention and control of PTB. A total of 223 cases of PTB were reported from 2012 to 2021 in Motuo County, with an average annual reported incidence rate of 171.39/100 000. Joinpoint regression model analysis showed that the average decline rate was 9.2% (<0.001) from 2012 to 2021. Among the various types of PTB patients reported from 2012 to 2021, there were 69 cases of etiologic-positive cases which increased from 28.57% to 52.63%. Results from the circular distribution methods showed that there was no obvious peak time of PTB in Motuo County. There was no statistical difference in the average annual incidence of PTB between different genders (=0.108, =0.743). Among all age groups, the 20-29 years group had the highest proportion (26.91%, 60/223). The Monpa ethnic group (153 cases, 68.61%) had the largest number of cases, followed by the Lhoba people (44 cases, 19.73%) and the Tibetan (22 cases, 9.87%). Farmers (168 cases, 75.34%) had the highest occupational composition ratio, followed by students (40 cases, 17.94%). The main detection methods of PTB were clinical consultation and transferring consultation. Overall, the incidence rate of PTB decreased from 2012 to 2021. The majority of PTB patients were young adults with high transmission risk. It is necessary to pay more attention to the key populations and strengthen the comprehensive prevention and control for reducing the risk of PTB.
分析2012年至2021年墨脱县肺结核（PTB）的流行病学特征，为肺结核的预防和控制提供依据。2012年至2021年墨脱县共报告223例肺结核病例，年平均报告发病率为171.39/10万。Joinpoint回归模型分析显示，2012年至2021年平均下降率为9.2%（<0.001）。2012年至2021年报告的各类肺结核患者中，病原学阳性病例69例，占比从28.57%上升至52.63%。圆形分布法结果显示，墨脱县肺结核无明显发病高峰时间。不同性别肺结核年均发病率差异无统计学意义（=0.108，=0.743）。各年龄组中，20～29岁组占比最高（26.91%，60/223）。门巴族病例数最多（153例，68.61%），其次是珞巴族（44例，19.73%）和藏族（22例，9.87%）。职业构成比中农民最高（168例，75.34%），其次是学生（40例，17.94%）。肺结核主要诊断方式为临床诊断和转诊诊断。总体而言，2012年至2021年肺结核发病率呈下降趋势。大部分肺结核患者为青壮年，传播风险高。需更加关注重点人群，加强综合防控以降低肺结核传播风险。
