结核与肺部疾病杂志2024，Vol.5Issue(5)：415-421,7.DOI:10.19983/j.issn.2096-8493.2024115
2015-2022年云南省重点地区结核病患者发现情况分析
Analysis of tuberculosis case detection in key areas of Yunnan Province during 2015-2022
摘要
Abstract
Objective:To analyze and compare the situation of tuberculosis(TB)case detection in key areas of Yunnan Province with other areas since the implementation of the 13th Five-Year Plan for National Tuberculosis Control and Prevention,and to provide a reference basis for the development of TB case-detection strategies and measures.Methods:The information of pulmonary TB patient notification,routine surveillance data and medical record information of TB patients registered for treatment in Yunnan Province from 2015 to 2022 were collected from the China Disease Control and Prevention Information System(CDCIS).The indicators on assessing TB case-detection work in 57 key districts/counties(27 national-level and 30 provincial-level counties for rural revitalization)and 72 other districts/counties were retrospectively evaluated,and the situation of TB case-detection were analyzed and compared.Results:Joinpoint regression(JPR)analysis showed that the reported incidence rates of TB in the key areas and other areas of Yunnan Province had a trend of"firstly rising and then declining"from 2015 to 2022.In the key areas,the rate was a significant increase from 2015 to 2020(annual percentage change,APC=4.18,P=0.028)and an insignificant decline from 2020 to 2022(APC=-6.28,P=0.247);in other areas,it was a period of insignificant increase(APC=5.12,P=0.097)from 2015 to 2017 and a period of significant decline(APC=-6.24,P=0.001)from 2017 to 2022.The reported incidence rate of pulmonary TB was 75.74 per 100 000(123 980/163 689 089)in the key areas,higher than that in other areas(45.31 per 100 000,98 587/217 575 588)with a statistically significant difference(t=2.564,P=0.010).The proportion of TB suspects who sought health care in the key areas was 4.72‰(788 137/167 080 059)among the total population,higher than that in other areas(3.86‰,825 392/213 889 708),the difference was statistically significant(x2=16 380.378,P＜0.001).The incidence of delayed health care seeking in the key areas was 68.84％(77 857/113 102),which was higher than 57.58％(51 287/89 066)in other areas,the difference was statistically significant(x2=2735.422,P＜0.001).The etiological testing rate among TB suspected in the key areas was 72.99％(575 241/788 137),lower than that in other areas(78.11％(644 706/825 392)),the difference was statistically significant(x2=5734.282,P＜0.001).The etiological test positive rate was 41.78％(46 673/111 717)in the key areas,lower than that in other areas(45.45％(38 887/85 552)),the difference was statistically significant(x2=266.613,P＜0.001).Conclusion:Since the implementation of the 13th Five-Year Plan for National Tuberculosis Control and Prevention,the TB case detection in both key areas and other areas of Yunnan Province has been significantly improved.However,the efforts of case detection in the key areas are still insufficient.It needs to continue to adhere to the active screening strategy for detecting TB patients earlier,reducing the transmission of TB,and reducing the epidemic level of TB.关键词
结核/卫生工作重点/传染病控制/云南省Key words
Tuberculosis/Health priorities/Communicable disease control/Yunnan Province分类
医药卫生引用本文复制引用
卢昆云,唐顺定,吴蔚,李玲,杨蕊,许琳..2015-2022年云南省重点地区结核病患者发现情况分析[J].结核与肺部疾病杂志,2024,5(5):415-421,7.基金项目
云南省兴滇人才"名医人才专项"(YNWR-MY-2019-018) （YNWR-MY-2019-018）
云南省高层次卫生计生技术人才培养项目(H-2019027) Yunnan Provincial Xing Dian Talent Program-"Famous Doctor & Talent Specialization"(YNWR-MY-2019-018) （H-2019027）
Yunnan Provincial High-level Health and Family Planning Technical Talent Cultivation Program(H-2019027) （H-2019027）
