2010年中国肺结核患病情况 地理分布的研究

李新旭; 张慧; 姜世闻; 刘小秋; 方群; 李峻; 李雪; 王黎霞

Abstract

李新旭,张慧,姜世闻,刘小秋,方群,李峻,李雪,王黎霞.2010年中国肺结核患病情况地理分布的研究[J].Chinese journal of Epidemiology,2013,34(10):980-984

2010年中国肺结核患病情况地理分布的研究

Geographical distribution regarding the prevalence rates of pulmonary tuberculosis in China tn 2010

Received:June 09, 2013

DOI：10．3760/cma．j．issn．0254—6450．2013．10．009

KeyWord: 结核病|患病率|地理分布|泰森多边形

English Key Word: berculosis|revalence|Geographical distribution|hiessen Polygon Method

FundProject:

Author Name	Affiliation	E-mail
LI Xin-xu	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
ZHANG Hui	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
JIANG Shi-wen	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
LIU Xiao-qiu	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
FANG Qun	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
LI Jun	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
LI Xue	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China
WANG Li-xia	National Center for Tuberculosis Controf and Prevention. Chinese Center for Disease Controf and Prevention 102206, China	wanglx@chinatb.org

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Abstract:

目的了解2010年中国肺结核患病情况的地理分布特征，为制定消除结核病疫情地区间不平衡的防控措施提供参考依据。方法利用地理信息系统空间分析方法中的泰森多边形法对全国第五次结核病流行病学抽样调查数据进行分析。结果北京、天津、河北、上海、江苏、浙江、山东省(市)的大部分地区活动性肺结核患病率(62/10万至548/10万)、菌阳肺结核患病率 (0/10万至120/10万)和涂阳肺结核患病率(0/10万至68/10万)均较低；广西、四川、贵州、云南、西藏、重庆、新疆和青海省(区、市)的大部分地区活动性肺结核患病率(549/10万至1656/10万)、菌阳肺结核患病率(121/10万至366/10万)和涂阳肺结核患病率(69/10万至181/10万)均较高，其中部分地区的患病率分别高达1657/10万至2646/10万、367/10万至625/10万和182/10万至285/10万；其他省(区)的大部分地区活动性肺结核患病率在320/10万至548/10万和549/10万至919/10万之间交错分布，菌阳肺结核患病率在67/10万至120/10万、121/10万至207/10万和208/10万至366/ 10万之间交错分布，涂阳肺结核患病率在38/10万至68/10万、69/10万至115/10万和116/10万至 181/10万之间交错分布。结论中国肺结核患病情况的地理分布呈现明显的东部地区相对较低、西部地区相对较高、中部地区高低交错过渡(即东低西高中交错)的特征。

English Abstract:

Objective To describe the geographical distribution regarding the prevalence rates of pulmonary tuberculosis(TB)in 2010，to provide reference for eliminating the regional unbalance of TB prevalence in China．Methods Thiessen Polygon Methads dealing with spatial analysis in geographical information system，was used to analyze data from the 5th national TB epidemiological sttrvey．Results The prevalence rates of active pulmonary TB(PAPT)，Mycobacterium— positive pulmonary TB(PMPT)and smear-positive pulmonary TB(PSPT)were 62—548/100 thousand population(0HTP)，0—120/OHTP and 0—68/0HTP，which were all relatively lower in most parts of Beijing，Tianjin，Hebei，Shanghai，Jiangsu，Zhejiang and Shandong than in other areas．PAPT (549—1656/OHTP)，Ph(121—366/OHTP)and PSPT(69—18I/0HTP)were relatively higher in most parts of Guangxi，Sichuan，Guizhou，Yunnan，Xizang，Qinghai and Xinjiang than in other areas， in which PAPT。PMPT and PSPT of some areas could be seen as high as 1 657—2646/0HTP，367—625/ OHTP and 1 82—285/OHTP，respectively．PAPT，P～口T and PSPT manifested iigsaw pattern distribution between 320—548/OHTP adn 549—919/OHTP．among 67—120/OHTP。121—207/OHTP and 208—366/OHTP，and among 38—68/0HTP，69—115/0HTP and 116—18I/0HTP，respectively，in the rest of the provinces or autonomous regions．Conclusion The geographical distribution for TB prevalence significantly presented the fact that it was relatively low in the eastern parts and high in the western parts，and a iigsaw transition pattern between the lOW and high rates，in the central part of the country．

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