2006-2009年南山区学生肺结核病例情况分析

Analysis on student pulmonary tuberculosis cases from 2006 to 2009 in Nanshan district

目的分析近年南山区校园结核病的发病情况,为有效预防和控制学校结核病疫情提供依据。方法将2006-2009年在深圳市南山区慢性病防治院就诊的学生肺结核初诊病例182例作为研究对象,收集病例的相关资料,采用描述性分析方法分析病例发现、分布特征和治疗转归等情况。结果 2006-2009年南山区学生肺结核病例占全区同期活动性肺结核病例的比例逐年递增,分别为0.99%、1.64%、1.88%和3.99%;因症就诊方式发现的病例分别占初诊、确诊和涂阳病例的70.9%、67.9%和90.0%,是发现学生病例的主要方式;小学、中学、大学初诊病例确诊率分别为5.56%、27.3%和35.8%,差异有统计学意义(P=0.029)。结论应采取多种措施继续加强学校肺结核预防控制工作,并将工作重点放在大学生群体。

Objective To analyze the TB incidence status in schools of these years and provide scientific basis for successful prevention and control of TB epidemic situation.Methods The study included all the student TB suspects who visited Nanshan Chronic Disease Center during 1st January,2006 to 31st December,2009 as the subjects.Related data were collected and descriptive analysis and chi-square test methods were adopted to analyze the condition of TB infection,distribution and outcomes of the cases.Results The proportion of the student TB cases to all active cases in 2006,2007,2008 and 2009 of the district were 0.99%,1.64%,1.88% and 3.99%,respectively,with an rising year by year from 2006 to 2009.70.9% of the suspected cases,67.9% of the diagnosed cases and 90.0% of the smear positive cases visited the hospital have symptoms,so visiting hospital of the patients was the main way of identifying the disease cases.The diagnostic rates of primary school,middle school and college students were 5.56%,27.3% and 35.8%,respectively,and the differences had statistical significance（P=0.029）.Conclusion The prevention and control of TB in school should continue to be strengthened and taken various measures,especially among college students.