方山县初中生结核菌感染和患病情况调查

Survey of Mycobacterium Tuberculosis and Morbidity Rate in Junior Middle Schoold Students from Fangshan County

目的 :调查中学生的结核菌感染和患病情况 ,为制定方山县预防和控制本病的发生与流行规划提供特定人群的依据。方法 :采用结核菌素试验方法对方山县境内三所中学 6 14 8名初中生的结核菌感染和患病情况进行调查。结果 :结核菌感染阳性率平均为 84 94 % ,明显高于 1991年WHO调查结果 ;活动性肺结核患病率14 6 4 / 10万 ,高于 2 0 0 0年结核病流调全国水平 12 2 / 10万 ,而略低于山西省 14 9/ 19万水平。结论 :提示方山县近二年来实施现代结核病控制策略 (DOTS) ,启动日援项目及全球基金项目进行治疗 ,使结核病流行情况明显改善的同时仍应重视在校初中生的结核病防治工作。

Objective:To investigate mycobacterium tuberculosis and morbidity rate to provide reliable basis for the planning of the prevention and control of the disease in particular population.Methods:Tuberculin test was used to investigate the infection and sick rate in 6 148 students from three Fangshan middle schools.Results:The mean positive rate of mycobacterium tuberculosis was 84.94% in the students,significantly higher than that investigated by WHO;the morbidity rate of active pulmonary tuberculosis reached 146.4 per 100,000 persons,higher than that in the whole country(122 per 100,000 persons according to the 2000 national survey of epidemic of tuberculosis),and slightly lower than that in Shanxi province(149 per 190,000 persons).Conclusion:For the past two years,Fangshan has carried out a number of measures to prevent and control the disease,which have greatly improved the situation.Meanwhile,it should continue to attach great importance to the prevention and treatment of tuberculosis in junior middle school students.