2015-2016年石河子地区在校学生结核病筛查结果分析

发布时间：2018-05-05 09:45

  本文选题：学生 + 结核菌素试验　； 参考：《现代预防医学》2017年20期

【摘要】：目的对在校学生进行结核菌素试验(PPD)筛查,了解PPD试验结果的分布特点,为学校结核病防治工作提供依据。方法按照地理(工业区密集程度)分布,随机抽取石河子市11所学校作为调查现场,对抽到班级学生进行PPD试验筛查,对PPD试验强阳性以及出现可疑结核病症状的学生进行胸部X线和痰涂片检查。结果共计筛查1 695名学生,询问调查对象家中无结核病人后进行筛查,PPD试验阳性率26.19%(444人),强阳性率5.13%(87人),2015年PPD试验阳性率20.94%低于2016年(199人,37.90%);男性阳性率23.55%,低于女性29.04%,差异有统计学意义(P=0.01),北部学校学生PPD试验强阳性率(6.71%)明显高于南部(3.60%,P0.01);不同学龄段的PPD试验阳性率不同(χ2=41.48,P0.001);本次筛查并未检出活动性肺结核病例。结论对学校在校生进行PPD试验筛查是结核病"三早"预防的有效途径,石河子北部工业区、维吾尔族、学龄段较高的学生应作为今后结核病筛查的重点人群,应在积极采取措施的同时加强相关健康教育,防患于未然。
[Abstract]:Objective to investigate the distribution characteristics of PPD test and to provide evidence for TB prevention and control in schools. Methods 11 schools in Shihezi City were randomly selected according to their geographical (industrial area density) distribution, and the students were screened by PPD test. Chest X-rays and sputum smears were performed on students with strong positive PPD test and suspected tuberculosis symptoms. Results A total of 1,695 students were screened, The positive rate of PPD test in 2015 was 20.94% lower than that in 2016 (37.90%), and the positive rate of male was 23.55%, lower than that of female 29.04%, the difference was statistically significant (P 0.01). The strong positive rate of PPD test (6.71%) was significantly higher than that of 3.60m (P0.01) in the southern part of the school, and the positive rate of PPD test was different among different school age groups (蠂 ~ 2 / 41.48 / P 0.001). There were no active pulmonary tuberculosis cases detected in this screening. Conclusion PPD screening is an effective way to prevent tuberculosis in the three mornings. Students with high school age and Uygur nationality in Shihezi northern industrial area should be regarded as the key population for TB screening in the future. Measures should be taken to strengthen the relevant health education.
【作者单位】： 石河子市疾病预防控制中心结核病防治科;
【基金】：八师石河子市科技计划项目(2016HZ30)
【分类号】：R52
，

本文编号：1847205