目的了解济宁市活动性肺结核的流行特征,为制定结核病防治对策提供理论依据。方法对济宁市2005~2014年肺结核管理信息系统肺结核疫情信息资料进行收集整理,采用描述性流行病学研究方法分析济宁市活动性肺结核病人分布状况。结果 2005~2014年济宁市累计报告活动性肺结核病人32 205例,报告发病率呈下降趋势,年均发病率为38.69/10万,月均报告发病数在4月最高(3 208例),随后逐步降低,次年1月最低(1 971例)。男性肺结核发病率(58.02/10万)高于女性(23.07/10万)(P<0.01),发病以老年人居多(117.07/10万),职业分布中,农民和学生报告发病患者数最多,分别占发病总数的84.10%和4.00%。地区分布显示,微山县和泗水县年均发病率较高,分别为53.19/10万和51.44/10万。结论济宁市肺结核疫情虽有下降但依然严重,结核病防治工作的重点应放在农村和学校。 Objective To understand the epidemic characteristics of active tuberculosis in Jining and provide a theoretical basis for the development of tuberculosis prevention and control measures. Methods The information of tuberculosis outbreaks in tuberculosis management information system collected from 2005 to 2014 in Jining was collected and analyzed, and the distribution of active tuberculosis patients in Jining was analyzed by descriptive epidemiological method. Results A total of 32 205 cases of active pulmonary tuberculosis were reported in Jining City from 2005 to 2014, with a decreasing trend of incidence. The average annual incidence was 38.69 / lakh. The monthly average incidence was reported to be the highest in 3 208 cases (3 208 cases) Gradually lower in January the following year the lowest (1 971 cases). The incidence of pulmonary tuberculosis in males was higher than that of females (23.07 / 100000) (58.02 / 100000) (P <0.01). The incidence of male tuberculosis was the highest (117.07 / 100000) Accounting for 84.10% and 4.00% of the total incidence respectively. The regional distribution shows that the average annual incidence of Weishan and Surabaya counties is high at 53.19 / lakh and 51.44 / lakh respectively. Conclusions Although the epidemic situation of pulmonary tuberculosis in Jining has been declining, it is still serious. The focus of tuberculosis prevention and control should be placed on rural areas and schools.