摘要
目的:了解嵊州市学生肺结核发现情况,为预防和控制学校肺结核疫情发生提供依据。方法:采取描述性统计方法对嵊州市2005-2011年传染病网络直报系统报告的学生肺结核发病资料开展分析。结果:2005-2011年全市共报告学生活动性肺结核病例151例,其中涂阳病例33例,涂阴病例109例,未痰检病例9例;因症就诊为主要发现方式占71.94%;接触者筛查发现占20.86%,健康体检及其他发现占7.20%;存在就诊延误,总就诊延误率为34.44%,涂阳病例就诊延误率为54.55%;发病男生多于女生,男女性别比为1.56∶1;15岁以上年龄高中组学生肺结核报告发病数为主,占全部学生数的77.12%;每年3-5月为病例发现高峰期。结论:嵊州市学生肺结核以因症就诊发现病例为主,其次为接触者筛查,存在就诊延误,应加强学生结核病健康教育,提高可疑肺结核相关知识的知晓率,做好新生入学结核病筛查及体检工作,做到早发现,防制学校肺结核疫情的发生。
Objective To understand the condition of students＇ pulmonary tuberculosis in Shengzhou, and to provide reference for prevention and control of pulmonary tuberculosis. Methods Descriptive epidemiological method was used to analyze the reported data of pulmonary tuberculosis through infectious disease network system. Results A total of 151 cases oar pulmonary tuberculosis were reported during 2005--2011,33 cases of which were TB smear positive patients, 109 cases TB smear negative cases,and 9 cases without sputum microscopy. 71.94% of pulmonary tuberculosis cases were found through clinical consultation, 20. 86% screening test of contacts, another 7.20% physical examination or other ways; 34. 440//00 of pulmonary tuberculosis cases were treatment delay,and 54.55% of smear positive cases were treatment delay. The sex ratio was 1.56..1 between boys and girls. The cases were mainly in high school students,which accounted for 77.12% of all cases. The peak period was from March to May each year. Conclusions The main way of finding students＂ pulmonary tuberculosis in Shengzhou was through clinical consultation. There existed a condition of treatment delay. The education about pulmonary tuberculosis among students should be strengthened. In order to ensure early discovery of new patients and prevention of tuberculosis outbreak, tuberculosis screening test among new students should be strengthened.
出处
《中国农村卫生事业管理》
2013年第10期1123-1124,共2页
Chinese Rural Health Service Administration
