浙江省2005-2012年学生结核病发病趋势及特征分析

发布时间：2018-04-25 14:36

本文选题：学生 + 结核　；参考：《中华疾病控制杂志》2014年01期

【摘要】：目的了解浙江省近几年来学生结核病发病趋势及特征。方法从《传染病报告信息管理系统》获得2005-2012年学生肺结核病例信息,进行学生肺结核特征分析;从浙江省统计年鉴获得同期全省学生总数,结合学生肺结核病例数计算学生肺结核发病专率,并进行趋势分析,并将学生人群与全人群的肺结核发病专率进行比较。结果 2011年较2005年学生与全人群肺结核发病率均有下降,但学生人群下降幅度小于全人群(全人群从92.90/10万下降至59.55/10万,学生从20.27/10万下降至17.85/10万)。涂阳肺结核发生率在学生人群中有上升,但差异无统计学意义(x2=2.03,P=0.150),在全人群中下降,差异有统计学意义(x2=682.28,P0.001)。每年3、4、5月份是学生肺结核发病高峰。2005-2012年共报告10 952例学生肺结核,男生发病数约是女生的1.52倍(6 606/4 346),发病年龄以18岁为中心,近似成正态分布,年龄在16~21之间的高中学生和大学一、二年级学生是学生肺结核主要发病人群。结论近年来传染性学生肺结核病例较全人群并没有下降,反而有上升趋势。每年3、4、5月份是学生结核的高发时间,高中和大一、大二学生应作为学生结核病防控重点。
[Abstract]:Objective to understand the incidence trend and characteristics of tuberculosis among students in Zhejiang Province in recent years. Methods from the Infectious Disease report Information Management system, we obtained the information of students' tuberculosis cases from 2005 to 2012, and analyzed the characteristics of students' tuberculosis, and obtained the total number of students in the same period from the statistical yearbook of Zhejiang Province. The specific incidence rate of pulmonary tuberculosis among students was calculated and the trend was analyzed, and the specific incidence rate of pulmonary tuberculosis was compared between the students and the whole population. Results compared with 2005, the incidence of pulmonary tuberculosis among students and the whole population decreased in 2011, but the rate of decrease in student population was smaller than that in the whole population (from 92.90 / 100 000 to 595,55 / 100 000 in the whole population and from 20.27% / 100 000 to 17.85% / 100 000 in the whole population). The incidence of smear positive pulmonary tuberculosis increased in the students, but the difference was not statistically significant, but decreased in the whole population. The difference was statistically significant. A total of 10 952 cases of pulmonary tuberculosis were reported in 2005 to 2012. The incidence of male tuberculosis is about 1. 52 times that of female students. The incidence of tuberculosis is about 6 606 / 4 346% of that of female students. The age of onset is 18 years old, which is approximately normal distribution. High school students aged between 16 and 21 and freshmen and sophomores were the main incidence of tuberculosis. Conclusion in recent years, the cases of pulmonary tuberculosis among infectious students have not decreased, but have an increasing trend. Every year, 3 / 4 / 5 / 5 is the time of high incidence of tuberculosis among students. High school, freshman and sophomore students should be regarded as the key points of TB prevention and control.
【作者单位】：浙江省疾病预防控制中心;
【基金】：浙江省医药卫生科技计划项目(2011KYB027)
【分类号】：R521

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