2008-2020年拉萨某医院肺结核病例临床流行病学特征分析

刘阳; 陈郁; 汤恩杰; 雷衡东; 高鑫; 罗勇军; 吴前进

doi:10.16016/j.2097-0927.202107104

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2008-2020年拉萨某医院肺结核病例临床流行病学特征分析

公共卫生与预防医学 | 更新时间：2026-01-09

- 2008-2020年拉萨某医院肺结核病例临床流行病学特征分析
- Epidemiological characteristics of tuberculosis in a hospital in Lhasa during 2008 and 2020
- 陆军军医大学学报 2022年44卷第3期页码：275-280
- 作者机构：
  
  1.401331重庆，重庆师范大学地理与旅游学院
  2.400038 重庆，陆军军医大学(第三军医大学)陆军卫勤训练基地军事医学地理学教研室
  3.400038 重庆，陆军军医大学(第三军医大学)军事预防医学系军队流行病学教研室
  4.850007 拉萨，西藏军区总医院信息科
  5.850007 拉萨，西藏军区总医院卫勤部
- 作者简介：
  
  [罗勇军，E-mail：149553604@qq.comLUO Yongjun, E-mail: 149553604@qq.com
  [吴前进，E-mail：wqj74@163.comWU Qianjin, E-mail: wqj74@163.com
- 基金信息：
  
  国家科技部第二次青藏高原综合科学考察研究专题(2019QZKK0607);2021年度军队卫勤保障能力创新与生成专项计划(21QQ001)
- DOI：10.16016/j.2097-0927.202107104
  中图分类号： R183;R521
- 收稿：2021-07-16，
  
  修回：2021-09-14，
  
  纸质出版：2022-02-15
- 稿件说明：
移动端阅览
刘阳, 陈郁, 汤恩杰, 等. 2008-2020年拉萨某医院肺结核病例临床流行病学特征分析[J]. 陆军军医大学学报, 2022,44(3):275-280.

Yang LIU, Yu CHEN, Enjie TANG, et al. Epidemiological characteristics of tuberculosis in a hospital in Lhasa during 2008 and 2020[J]. Journal of Army Medical University, 2022, 44(3): 275-280.
刘阳, 陈郁, 汤恩杰, 等. 2008-2020年拉萨某医院肺结核病例临床流行病学特征分析[J]. 陆军军医大学学报, 2022,44(3):275-280. DOI： 10.16016/j.2097-0927.202107104.

Yang LIU, Yu CHEN, Enjie TANG, et al. Epidemiological characteristics of tuberculosis in a hospital in Lhasa during 2008 and 2020[J]. Journal of Army Medical University, 2022, 44(3): 275-280. DOI： 10.16016/j.2097-0927.202107104.

摘要

目的

基于拉萨某医院2008-2020年肺结核病例数据，分析2016年前后该医院肺结核病例流行病学特征。

方法

收集拉萨某医院2008-2020年7 523例确诊为肺结核患者的临床资料，比较2016年前后肺结核患者年龄、性别、疾病特征、分布以及构成变化。

结果

该院2008-2015年肺结核病例数不断增加，2016-2020年肺结核病例数逐渐减少。城市地区病例数多于农村，但差距在不断缩小。男性、藏族病例数多于女性、汉族病例数。确诊病例的年龄构成以中青年(20~50岁)为主，除了10~20岁的病例数在不断增加外，其他年龄段病例数以2016年为分水岭向两边逐渐减少。2008-2020年肺结核患者诊断类型中，确诊为原发型肺结核居首位，占78.75%，其他肺结核确诊类型病例数较少；该院肺结核病例主要来源于拉萨、那曲地区及其他区县政府驻地或发展较好的城市。

结论

2016年之后，拉萨某医院肺结核病例数呈现出明显的下降趋势。

Abstract

Objective

To analyze epidemiological characteristics of tuberculosis in a hospital in Lhasa with the year of 2016 as a node based on the clinical data of the disease during 2008 and 2020.

Methods

The clinical data of 7 523 patients diagnosed with pulmonary tuberculosis in a hospital in Lhasa from 2008 to 2020 were collected. The changes of age

gender

disease characteristics

distribution and composition of the patients before and after 2016 were analyzed.

Results

The number of pulmonary tuberculosis was increased continuously from 2008 to 2015

but the number was gradually decreased from 2016 to 2020. The number of the cases was larger in urban areas than rural areas

but the difference was narrowing. The males and Tibetan people were more common when compared with the females and Han people. The age composition of confirmed cases was mainly middle-aged and young people (20~50 years old). Except that the number of cases aged 10~20 was increasing

the number of cases at other age stages gradually decreased to both sides with 2016 as the watershed. Among the diagnostic types of pulmonary tuberculosis patients from 2008 to 2020

the diagnosed primary pulmonary tuberculosis ranked first

accounting for 78.75%. There were few cases of other types of pulmonary tuberculosis. The cases of tuberculosis in the hospital mainly come from Lhasa

Nagqu Prefecture and other district governments or city with better natural environment.

Conclusion

After 2016

the number of pulmonary tuberculosis shows a significant downward trend in the hospital.

关键词

Keywords

references

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