Objective To understand the epidemiological features of pulmonary tuberculosis (TB) in Guangxi Zhuang Nationality Autonomous Region, and to provide scientific basis for the TB control and prevention policy. Methods Data of TB cases in 2009 were collected from information system for TB and analyzed with method of descriptive epidemiolo-gy. Results The incidence rate of active TB was 88. 0/100 000, the fatality rate was 0. 6/100 000. The incidence rate of smear-positive was 33. 5/100 000, new smear-positive took 90. 2% of the smear-positive TB. The incidence rate of active TB was higher in male ( 121. 0/100 000) than in female (52.1/100 000) (x = 6447. 321 , P<0.01), it rose with age, it was highest in the group of age above 75 years. Peasants account for 75. 4% of the total. The incidence rate of active TB was higher in urban area (161. 0/100 000) than in rural area (71. 1/100 000) ( x2 = 6566. 731, P <0. 01) , it took high incidence in Apr. to Jul. and in southern coastal area and impoverished area. Conclusion The TB control policy and funds must be strengthened for the key population and area.%目的 分析广西肺结核流行特征,为制定结核病控制策略提供科学依据.方法 利用结核病管理信息系统报告数据,对广西2009年肺结核流行特征进行描述性分析.结果 2009年广西活动性肺结核发病率为88.0/10万,病死率为0.6/10万,涂阳肺结核发病率为33.5/10万,新发涂阳占涂阳肺结核病例的90.2％;男性发病率为121.0/10万,女性发病率为52.1/10万,男性发病率高于女性(x2=6447.321,P＜0.01).发病率随年龄的增长呈上升趋势,75岁以上年龄段发病率最高,为266.6/10万.发病人群以农民为主,占75.4％.城镇发病率为161.0/10万,农村发病率为71.1/10万,城镇发病率高于农村(x2=6566.731,P＜0.01).4-7月份是肺结核高发时间,南部沿海城市及贫困山区肺结核发病率较高.结论 广西结核病防治策略应针对重点人群和重点地区,加大政策扶持与经费投入,采取积极有效措施控制结核病.
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