目的 了解池州市2013~2018年活动性肺结核的报告发病水平,掌握流行特征。方法 收集2013~2018年报告和登记的活动性肺结核病患者资料,采用描述性流行病学方法对流行特征进行分析。结果 2013~2018年池州市累计报告活动性肺结核患者6 138例,年均报告发病率为71.27/10万,不同年份发病率呈上升趋势(χ²_趋势= 86.86,P＜0.01),登记患者5 194例,年均登记率为60.31/10万,不同年份登记率差异有统计学意义(χ²_趋势=99.12,P＜0.01);病原学阳性患者年均登记率呈现先下降后迅速上升的趋势(χ²_趋势=77.36,P＜0.01)。池州市肺结核流行特征明显,报告病例数3月份最多,占10.36%;石台县平均登记率最高(93.70/10万),贵池区平均登记率最低(51.67/10万);登记的活动性肺结核患者男女性别比为2.82∶1,65~74岁人群患者报告登记率最高,为194.53/10万。结论 池州市活动性肺结核报告发病率和登记率总体呈上升趋势,肺结核防控工作面临压力依然较大。

Objective To understand the reported incidence of active pulmonary tuberculosis in Chizhou City from 2013 to 2018 and grasp the epidemic characteristics. Methods Data of active pulmonary tuberculosis patients reported and registered in Chizhou City from 2013 to 2018 were collected and comprehensively analyzed by descriptive epidemiological method. Results From 2013 to 2018,a total of 6,138 cases of active pulmonary tuberculosis patients were reported in Chizhou City,with an annual average reported incidence of 71.27/100,000,the incidence rate of different years showed an upward trend (χ²_trend= 86.86,P＜0.001),and a total of 5,194 cases of active pulmonary tuberculosis patients were registered in the city,with an annual average registration rate of 60.31/100,000,the difference of registration rate in different years was statistically significant (χ²_trend=99.12,P＜0.001).The average annual registration rate of patients with positive etiology showed a trend of first decreasing and then rapidly increasing(χ²_trend=77.36,P＜0.001).The epidemic characteristics of pulmonary tuberculosis in Chizhou City were obvious,with the largest number of reported cases in March,accounting for 10.36%.The average registration rate in Shitai County was the highest (93.70 / 100,000) and the average registration rate in Guichi District was the lowest (51.67 / 100,000).The gender ratio of registered active pulmonary tuberculosis patients was 2.82∶1.Patients aged 65-74 reported the highest registration rate,which was 194.53/100,000. Conclusion The reported incidence and registration rate of active pulmonary tuberculosis in Chizhou City were generally on the rise.The tuberculosis prevention and control work was still under pressure.