225例外来人口结核病患者现状分析

Analysis of 225 tuberculosis patients moved in from outside

目的通过对外来人口结核痛患者的现状分析，了解该人群的结核病流行特征，为制定外来人口结核病控制策略提供科学依据。方法登记广州市海珠区2002-2003年外来人口新登记肺结核患者病例。填写《广州市海珠区外来人口结核病人经济情况调查表》，用前瞻性方法进行一年的跟踪调查。并采用SPSS10．0软件，对原始资料进行分析统计。结果调查广州市海珠区外来人口结核病患者225例，发现涂阳病人占41．8％，25，34岁年龄组发病构成比高达47．1％，居住2年以上而发病的患者占84．4％；初中以下文化程度的病例数是高中以上文化程度的2．6倍；63．6％的病例初次就诊于综合性医院，咳嗽为主要症状占63．1％，有症状者在14d内就诊的仅占42．7％。结论外来人口结核病的发病多集中在青壮年，文化层次较低及居住2年以上的人群。应加强对综合性医院有呼吸道症状病例的监测。

Objective To analyze the epidemiological fcaturcs of pulmonary tuberculosis in floating population and provide basis for making control measures. Methods New tuberculosis cases in floating population were registered with the ＂registration form of economic status of tuberculosis cases in population from outside of Haizhu District of Guangzhou City＂ during 2002 - 2003. The cases were followed up for a year and the results were analyzed with SPSS10.0. Results 225 tuberculosis eases from outside of Haizhu District were surveyed and smear positive cases was accounted for 41.8 %. The constituent ratio of tuberculosis infection in the age group of 25 - 34 years were 47.1% and 84.4% of them acquired the disease within two years after residence in this district. The cases with a cducafion background of under junior middle school was 2.6% higher than those of senior middle school. 63.6% of the cases were initially attended at integrated hospitals. Cough was observed in 63.1% of them and only 42.7% of the cases came to see a doctors in the hospitals within 14 days after appearance of symptoms. Conclusion The infection of tuberculosis is concentrated in the youth and middle age group with a low education background and a residence period of over two years. Monitoring of the cases with respiratory symptoms be strengthened.