衢州市2005—2012年学生肺结核发病及就诊情况

Epidemiological characteristics of tuberculosis among students in Quzhou during 2005-2012:Prevention and control

目的了解衢州市学生肺结核发病特点和流行趋势,为学校结核病防治工作提供依据。方法对2005—2012年结核病管理信息系统中衢州市学生肺结核发病资料进行统计分析。结果 2005—2012年衢州市学生年平均肺结核报告发病率为19.59/10万,年度间差异有统计学意义（χ2=22.28,P〈0.05）。学生肺结核病例中男、女性别比为1.11∶1;15～19岁病例占发病总数的66.93%;涂阴患者占66.69%;第2季度是发病的高峰季节（38.94%）。学生肺结核患者发现方式以因症就诊为主,占67.91%;就诊延误率为40.51%。结论衢州市2005—2012年学生肺结核发病率较高,呈逐年下降趋势。需高度重视学校结核病防控工作,特别是15～19岁年龄组学生。

Objective To explore epidemiological characteristics of tuberculosis among students in Quzhou city,and to provide evidence for prevention and control of tuberculosis.Methods Data from TB Management Information System were analyzed.Results During 2005-2012,the average annual incidence rate of tuberculosis was 19.59 /100 000 in Quzhou city,the proportion of the total number of cases increased with year,from 2.09% in 2005 to 4.01% in 2012.Sex ratio of male：Female was1.11∶ 1.Age group of 15-19 year old（66.93%） and smear-negative cases（66.69%） accounted for most cases.The incidence had a significant season variation with peaks in the second quarter.About 67.91% of TB cases were due to signs and symptoms.The rate of delayed diagnosis was 40.51%.Conclusion Schools are key to supporting effective tuberculosis prevention and education both to students and their parents.