云南省2005-2015年学生肺结核流行特征分析

发布时间：2018-05-02 19:43

本文选题：结核 + 肺　；参考：《中华疾病控制杂志》2017年07期

【摘要】：目的系统分析全省学生肺结核发病趋势及流行特征,为进一步推动云南省学生、学校结核病防控工作提供策略。方法采用描述流行病学方法对《中国疾病监测信息报告管理系统》2005-2015年云南省学生肺结核监测数据进行分析,描述全省学生肺结核疫情趋势,时间、地区、人群三间分布特征。结果 2005-2015年云南省学生肺结核年均发病率为19.1/10万,疫情总体呈下降趋势,但近年学生活动性肺结核和涂阳病例均出现少许回升;学生肺结核报告发病呈夏初、秋季2个季节高峰;学生病例占全省病例构成呈现逐年下降趋势,发病年龄集中于15~20岁;学生病例集中在昭通市、曲靖市和昆明市等地,但怒江州是全省报告学生肺结核发病率最高的地区。结论全省学生肺结核疫情总体呈逐年下降趋势。疫情特征提示当前的重点工作为加强学生肺结核新发病例和学校结核病聚集性疫情的调查处置,并在相应学生人群中开展主动筛查;开展怒江州等地学生肺结核高发原因调查及学校结核病防控的现状调查。
[Abstract]:Objective to analyze the incidence trend and epidemic characteristics of pulmonary tuberculosis among students in Yunnan province, and to provide strategies for further promoting the prevention and control of tuberculosis among students and schools in Yunnan province. Methods the data of tuberculosis surveillance of students in Yunnan Province from 2005 to 2015 were analyzed by descriptive epidemiology method, and the distribution characteristics of students' tuberculosis epidemic trend, time, region and population in Yunnan province were described. Results from 2005 to 2015, the average annual incidence of pulmonary tuberculosis among students in Yunnan Province was 19.1 to 100,000, and the epidemic situation generally showed a downward trend, but in recent years, both active pulmonary tuberculosis and smear positive cases of students showed a slight increase, and the reported incidence of students' tuberculosis was in the early summer. The number of student cases in the province decreased year by year, and the onset age was concentrated at 15 to 20 years old. Students' cases were concentrated in Zhaotong, Qujing and Kunming. However, Nu Jiang Prefecture is the province reported the highest incidence of tuberculosis among students. Conclusion the epidemic situation of pulmonary tuberculosis among students in the province is decreasing year by year. The characteristics of the epidemic situation suggest that the key task is to strengthen the investigation and treatment of the new cases of tuberculosis and the concentrated epidemic of tuberculosis in schools, and to carry out active screening among the corresponding students. To investigate the causes of high incidence of tuberculosis and the current situation of tuberculosis prevention and control in Nu Jiang Zhou and other places.
【作者单位】：云南省疾病预防控制中心学校卫生所;西部地区现场流行病学培训项目;中国疾病预防控制中心结核病预防控制中心;
【分类号】：R181.3;R521

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