鹿泉区2011—2015年中小学新生结核菌素试验结果分析

发布时间：2018-05-13 15:05

本文选题：结核 + 肺　；参考：《中国学校卫生》2017年03期

【摘要】：目的了解石家庄市鹿泉区中小学新生结核病感染情况,探索学校发现和预防肺结核的办法。方法对鹿泉区2011—2015年51 528名中小学新生进行结核菌素试验(PPD),并分析其肺结核发病情况。结果 BCG-PPD组与TBPPD组的阳性率及强阳性率差异均有统计学意义(χ~2值分别为58.424,13.995,P值均0.05)。不同年级学生PPD阳性率及强阳性率间差异有统计学意义(2011—2013年χ~2值分别为348.501,279.369,2014—2015年χ~2值分别为203.289,111.693,P值均0.05)。818名强阳性者进一步检查691名(84.47%)。发现活动性肺结核高中生4名、初中生2名、无小学生,肺结核检出率为0.73%。420名强阳性者使用"母牛分支杆菌"双向免疫调节剂进行预防。结论中学生结核分枝杆菌感染不容忽视,应将结核病筛查和结核病健康教育纳入学校的制度化管理。
[Abstract]:Objective to investigate the situation of tuberculosis infection in primary and middle school students in Luquan District, Shijiazhuang City, and to explore the ways to find and prevent tuberculosis in schools. Methods 51,528 freshmen from primary and secondary schools in Luquan district from 2011 to 2015 were tested with PPD and the incidence of pulmonary tuberculosis was analyzed. Results there were significant differences in positive rate and strong positive rate between BCG-PPD group and TBPPD group (蠂 ~ 2 = 58.424 ~ 13.995P = 0.05). There were significant differences in PPD positive rate and strong positive rate among students in different grades. 蠂 ~ 2 values in 2011-2013 were 348.501279.369 and 203.289111.693 in 2014-2015, respectively (P = 0.050.818). It was found that 4 high school students and 2 junior high school students had active pulmonary tuberculosis. The positive rate of pulmonary tuberculosis was 0.73.420 strong positive persons were prevented by the bidirectional immunomodulator of Mycobacterium cow. Conclusion Mycobacterium tuberculosis infection in middle school students can not be ignored, tuberculosis screening and tuberculosis health education should be incorporated into school management.
【作者单位】：河北省石家庄市鹿泉区疾病预防控制中心;鹿泉区妇幼保健院;
【分类号】：R529.9

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