南京市2005—2011年学生结核病发病特征分析

发布时间：2018-05-05 12:39

本文选题：结核 + 肺　；参考：《中国学校卫生》2014年07期

【摘要】：目的了解南京市学生结核病的报告发病特征,为制定学校结核病防治对策提供依据。方法采用描述流行病学方法,对南京市2005—2011年学生结核病患者登记资料进行分析。结果 2005—2011年学生报告结核病发病率分别为24.82/10万,22.54/10万,17.55/10万,15.43/10万,20.64/10万,15.86/10万,14.92/10万,平均报告发病率18.68/10万,各年份报告发病率差异有统计学意义(χ2=59.38,P0.01),随年份变化呈下降趋势(χ2趋势=37.76,P0.01);涂阳登记比例逐年降低(χ2趋势=28.28,P0.01);患者中男生多于女生;年龄分布以20~24岁最多(52.15%),其次为15~19岁(37.04%);经主动发现方式发现的学生患者比例较低;报告病例数在4—5月和9月较多。学生平均就诊延迟率为26.70%,且就诊延迟率随学生年龄增长呈下降趋势(χ2趋势=14.46,P0.01)。结论南京市学生结核病报告发病率呈下降趋势,15~24岁年龄段的学生是学校结核病防控的重点人群。应加大对学生结核病例的主动发现力度,重视对学生结核病防治知识的健康宣教。
[Abstract]:Objective to investigate the reported incidence characteristics of tuberculosis among students in Nanjing, and to provide evidence for the prevention and treatment of tuberculosis in schools. Methods descriptive epidemiology was used to analyze the registration data of tuberculosis patients in Nanjing from 2005 to 2011. Results from 2005 to 2011, the reported incidence rate of TB in students was 248.2 / 100000, respectively. The average reported incidence of TB was 186,800 / 100,000, and the average reported incidence was 186,800 / 100,000. There was significant difference in the reported incidence rate among different years (蠂 ~ 2 / 59.38 / P 0.01), which showed a decreasing trend with year's change (蠂 ~ 2 trend = 37.76 / P _ (0.01), and the proportion of smear positive registration decreased year by year (蠂 ~ 2 trend was 28.28 / P _ (0.01), the number of male patients was more than that of female students. The age distribution ranged from 20 to 24 years old (52.15), followed by 1519 years old or 37.04 years old, the proportion of students found by active discovery was lower, and the number of reported cases was more in April-May and September. The average delay rate was 26.70%, and the delay rate decreased with the increase of students' age (蠂 ~ 2 trend: 14.46%, P 0.01). Conclusion the reported incidence of tuberculosis among students in Nanjing is decreasing. Students aged from 15 to 24 years old are the key population of TB prevention and control in Nanjing. It is necessary to strengthen the active detection of tuberculosis cases among students and pay attention to the health education of students' tuberculosis prevention and control knowledge.
【作者单位】：江苏省南京市疾病预防控制中心;
【分类号】：R181.3;R52

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