云南省2005—2012年学生肺结核疫情分析

发布时间：2018-03-09 01:10

本文选题：结核　切入点：肺　出处：《中国学校卫生》2014年09期 　论文类型：期刊论文

【摘要】：目的了解云南省学生肺结核流行情况,为制定干预措施提供参考。方法利用2005—2012年云南省疾病监测信息报告管理系统报告发病资料和结核病管理信息系统登记病例资料,描述性统计分析学生肺结核发病情况及流行趋势。结果 2005年以来,学生活动性肺结核和涂阳肺结核发病率下降迅速,2012年已降到13.96/10万和3.09/10万;学生每年均列肺结核职业构成顺位的第2位,学生肺结核占全部报告肺结核的比例呈逐年下降趋势;学生肺结核中男、女生比例接近,与全人群比较差异有统计学意义(χ2=808.6,P0.01);15~24岁年龄组学生肺结核发病数最多,占学生肺结核总人数的69.45%,登记构成从2009年开始以涂阴为主;结防机构登记治疗病例以初治为主,复治病人逐年减少;学生肺结核在每年4月份发病人数最多;学生肺结核病例就诊延迟时间较全人群短。结论学校肺结核疫情虽整体呈下降趋势,但集中出现疫情的可能性随时存在,必须予以高度重视,进一步加强学校结核病防治宣传教育工作。
[Abstract]:Objective to understand the prevalence of tuberculosis among students in Yunnan province and to provide reference for making intervention measures. Methods using the disease surveillance information report management system of Yunnan Province from 2005 to 2012 to report the incidence data and the data of registered cases of tuberculosis management information system. Results since 2005, the incidence of active pulmonary tuberculosis and smear positive pulmonary tuberculosis among students decreased rapidly, reaching 139.6% and 30.9% of 100 000 in 2012. Every year, students rank second in the occupational structure of pulmonary tuberculosis, and the proportion of students with pulmonary tuberculosis in all reported tuberculosis shows a decreasing trend year by year; the proportion of male and female students with pulmonary tuberculosis is close to that of girls. Compared with the whole population, the difference was statistically significant (蠂 ~ 2 / 808.6p _ (0.01) P _ (0.01)) ~ (15) 24 years old students had the most incidence of pulmonary tuberculosis, accounting for 69.45% of the total number of students' tuberculosis, and the registered composition was mainly smear yam since 2009, and the primary treatment was the main part of the cases registered by preventive organizations. The incidence of pulmonary tuberculosis among students was the most in April, and the delay time of TB cases was shorter than that of the whole population. Conclusion although the epidemic situation of pulmonary tuberculosis in schools is on the whole, it has a downward trend. However, the possibility of concentrated outbreak exists at any time, so we must attach great importance to it and further strengthen the propaganda and education of tuberculosis prevention and control in schools.
【作者单位】：云南省疾病预防控制中心;
【分类号】：R181.81;R521

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