目的通过对2011—2015年广州市番禺区流动人口肺结核病流行特征的分析,探索更好的流动人口结核病疫情控制方法。方法采用描述性统计分析的方法对肺结核病患者流行特征的各项指标进行分析。结果登记的患者人数从2011年的769例下降到2015年的416例,减少了45.90%,2011—2015年菌阳比例为40.30%,从2011年的34.46%上升到2015年的45.43%,上升了31.83%。患者主要为男性青壮年,占61.01%,未填写职业、民工、无业人员,占93.96%;多属于首次发病,占96.39%;发病后以综合医院转诊发现(72.60%)和直接因症到结防机构就诊(17.97%)为主;病人不及时就诊延误率(52.60%)和未及时确诊率(18.47%)较高;初治涂阳患者2月末阴转率为84.21%,复治涂阳为72.00%;涂阳患者系统管理率为86.80%,治疗成功率为84.97%,丢失率为10.54%。结论针对我区流动人口肺结核病存在发病高、发现晚、系统管理难等特点,区结防机构、社区卫生服务中心和企业等更应将流动人口结核疫情视作本地疫情,互相协助,为流动人口提供与本地户籍人口同样的健康均等化服务,采取包括主动入厂宣传、免费提供可疑者筛查、上门访视患者、提供人文关怀等服务措施,以促进我区流动人口结核病疫情的有效控制。 Objective To analyze the epidemiological characteristics of pulmonary tuberculosis among floating population in Panyu District of Guangzhou City from 2011 to 2015 and explore a better control method for epidemic situation of tuberculosis in floating population. Methods Descriptive statistical analysis of the indicators of the prevalence of tuberculosis patients were analyzed. Results The number of registered patients decreased from 769 in 2011 to 416 in 2015, a decrease of 45.90%. The proportion of patients with positive bacteria was 40.30% in 2011-2015, rising from 34.46% in 2011 to 45.43% in 2015, 31.83%. Most of the patients were males and females, accounting for 61.01% of the total number of males and females, accounting for 93.96% of the total number of males and females, accounting for 93.96%; most of them were first-time males, accounting for 96.39% (17.97%) were attending the prevention and treatment institutions. The delay in visiting patients (52.60%) and the failure to timely diagnosis (18.47%) were higher than those in the prevention and treatment institutions. The negative conversion rate of smear-positive patients at the end of February was 84.21% Yang was 72.00%; smear positive patients with system management rate of 86.80%, the success rate of 84.97% treatment, the loss rate of 10.54%. Conclusions In view of the high prevalence, late discovery and poor system management of TB patients among floating population in our district, TB prevention and control agencies, community health service centers and enterprises should also treat the TB epidemic in floating population as a local epidemic and assist each other in their mobility The population should provide the same health equalization services as those of the local census population, and take initiatives such as initiatively entering the factory, screening for suspicious individuals, visiting patients on their own, and providing humanistic care so as to effectively control the TB epidemic among the floating population in our district .