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通过分析2006-2015年湖北省老年肺结核疫情特征及变化趋势,为老年结核病防控提供依据.结果表明,10年间老年肺结核患者登记率下降了15.52％ [(200.39-169.29)/200.39];2006年老年活动性肺结核患者占全人群活动性肺结核患者的15.61％(8076/51 745),2015年占22.61％(9484/41 938),老年肺结核占全人群肺结核的比率呈逐年上升趋势(x2趋势=1145.39,P＜0.05);老年肺结核男女比例为3.40∶1(69 586/20 470);老年复治涂阳患者构成比(17.49％,8670/49 558)高于全人群中复治涂阳患者构成比(14.83％,36 892/248 706),差异有统计学意义(x2=226.78,P＜0.001).因此,全省各级结核病防治机构应进一步加强对老年人群结核病的主动筛查,加强患者的发现和治疗管理,进而控制老年结核病疫情.“,”To analyze the epidemic characteristics and trend of pulmonary tuberculosis (PTB) in the elderly people in Hubei province,and to provide evidence for the TB control strategy for the elderly people.It was found that the registration rate of elderly TB patients declined by 15.52％ in ten years ((200.39-169.29)/200.39),the proportion of active TB registered in the elderly people in total number of active TB cases were 15.61％ (8076/51 745) in 2006 and 22.61％ (9484/41 938) in 2015,which was increasing year by year (xtrend=1145.39,P＜0.05).The ratio of male to female in elderly TB patients was 3.40 ∶ 1 (69 586/20 470),and the proportion of retreated smear positive TB was higher in the elderly people than in the whole population (x2 =226.78,P＜0.001).Thus,TB prevention and control institutions at all levels in Hubei province should further strengthen the active discovery of PTB in the elderly people,and improve the cases detection,treatment and management,in order to control PTB epidemic of the elderly people in Hubei province.