目的 探讨贵州省息烽县实现“终止结核病策略”目标可及性,为精准制定防控措施提供参考。方法 在中国疾病预防控制信息系统监测报告管理模块中按现住址导出发病日期为2017—2022年报告的肺结核患者信息,采用描述性流行病学分析方法,利用SPSS 25.0对报告肺结核患者的流行病学特征进行统计学分析。结果 息烽县2017—2022年肺结核报告发病1 554例,年均报告发病率为110.52/10万,呈下降趋势(χ²_趋势=22.502,P＜0.001),年递减率为6.93%;县城所在地乡镇报告发病率最低,距离县城较远的乡镇报告发病率较高;男性报告发病率高于女性(χ²=72.381,P＜0.001)。报告肺结核病例中,以农牧民(民工)为主,占79.41%;60岁及以上患者较多,占47.17%。讨论 息烽县结核病防控工作取得了一定成效。应制定和实施更加精准的防控策略和措施,加强患者及潜伏感染者的早期发现和有效干预工作。

Objective To understand the feasibility of "End Tuberculosis Strategy" in Xifeng County,and to provide reference for precise prevention and control strategies. Methods Pulmonary tuberculosis data from 2017 to 2022 in Xifeng County was exported from monitoring and reporting management module of the Chinese Disease Control and Prevention Information System based on the patient’s current home address.Descriptive epidemiological analysis method was applied,and the epidemiological characteristics of reported pulmonary tuberculosis cases were statistically analyzed by SPSS 25.0. Results From 2017 to 2022,1 554 cases of pulmonary tuberculosis were reported in Xifeng County,average annual prevalence rate was 110.5/100 000,suggested a downward trend(χ²_trend=22.502,P＜0.001),with an annual decline rate of 6.93%.The lowest prevalence rate was in the township where the county located,the township far away from the county had higher prevalence rate.Men had a higher prevalence rate than women (χ²=72.381,P＜0.001).Farmers and herdsmen (migrant workers) accounted for 79.41% of the total cases,patients aged 60 years and over compromised 47.17% of total cases. Conclusion The prevention and control of tuberculosis in Xifeng County made great achievement.More precise prevention and control strategies should be developed and implemented to strengthen the early detection and effective intervention of patients and latent infections.