石家庄某高校学生结核病发病情况及随访观察

发布时间：2018-05-17 19:32

本文选题：结核 + 肺　；参考：《中国学校卫生》2017年03期

【摘要】：目的了解大学生的结核病发病情况及相关因素,为制定学校结核病防控措施提供依据。方法选取河北经济管理学院2006级至2009级4届新生,按入学时的TB-PPD试验结果分为阴性组、一般阳性组和强阳性组,每届学生均观察3年,采用回顾性队列研究的方法对在校期间的结核病发病情况进行分析。结果 2006级至2009级共8 414人,有PPD结果 8 394人,阳性率、强阳性率分别为2006级39.0%,12.1%;2007级33.6%,7.6%;2008级46.4%,11.2%;2009级50.4%,13.0%,各年级之间差异均有统计学意义(P值均0.05)。阳性率、强阳性率女生均高于男生,差异均有统计学意义(χ2值分别为6.003,39.938,P值均0.05)。城市学生的阳性率(47.2%)高于农村学生(39.6%),强阳性率均为10.9%。累计观察25 242人年,共发现结核病人37例,年发病率为146.6/10万。PPD结果阴性组、一般阳性组、强阳性组的发病率差异有统计学意义(χ2=132.720,P0.01),发病率与强阳性率呈正相关(r=1.00,P0.01)。强阳性组中农村学生发病率高于城市(χ2=5.319,P=0.021)。结论青年学生是结核病的高危人群。应做为重点关注对象,给予适当的干预措施。
[Abstract]:Objective to understand the incidence and related factors of tuberculosis in college students, and to provide the basis for formulating the prevention and control measures for tuberculosis in schools. Methods 4 freshmen from Grade 2006 to 2009 in Hebei Institute of economic management were selected, and the results were divided into negative group, general positive group and strong Yang Group according to the results of TB-PPD test in school. Each student was observed for 3 years, and a retrospective team was adopted. The study method was used to analyze the incidence of tuberculosis during the period of school. Results there were 8414 people in class 2006 to grade 2009, with PPD results of 8394 people, positive rate, and positive rate of 39%, 12.1%, 2007, 33.6%, 7.6%, 2008 grade 46.4%, 11.2%, grade 2008, all grades were statistically significant (P value). The strong positive rate of female students was higher than that of boys (6.003,39.938, P value, respectively 6.003,39.938, P value, respectively). The positive rate of urban students (47.2%) was higher than that of rural students (39.6%), the strong positive rate was 10.9%. cumulative observation of 25242 years, a total of 37 cases of tuberculosis patients, the annual incidence of 146.6/10 million.PPD negative group, the general positive group, The incidence of the strong positive group was statistically significant (x 2=132.720, P0.01), the incidence was positively correlated with the strong positive rate (r=1.00, P0.01). The incidence of rural students in the strong positive group was higher than that of the city (x 2=5.319, P=0.021). Conclusion the young students are the high-risk group of tuberculosis.
【作者单位】：河北省石家庄市疾病预防控制中心;河北经贸大学;
【分类号】：R52;R181.3

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