某监狱服刑人员结核病流行情况及预防性服药效果分析

Analysis of tuberculosis epidemic situation among prison inmates and effect of preventive medication

目的了解结核病在哈市监狱内发病情况,探讨结核病服药效果,控制监狱内结核病流行状况。方法对新投入的监狱服刑人员进行胸部透视检查,选择胸透正常而PPD实验强阳性人群为实验人群,随机将其分为预防性服药组(280人)和非预防性服药组(289人),同时选择胸透正常而PPD实验结果阴性为对照组(290人)。其中预防性服药组人群,在知情同意的基础上进行预防性服药。观察6个月后,对实验人群进行胸透和痰检实验,确定结核病的发病率。结果预防性服药组、非预防性服药组与正常对照组人群中结核病的发病率分别为:0.36%、3.46%和2.76%。结论预防性服药对降低肺结核病的发病率有一定的作用。

Objective To study the epidemiology of tuberculosis in prison, and to explore the effect of preventive administration to tuberculosis. Methods The new criminal suspects were checked by the chest X-ray. There were 569 people who had the normal results of the X-ray check and the PPD tests results were negative. These people were grouped by the preventive administration group （N=280） and non-administration group （N=289）. There were 290 people who had the positive results both the X-ray and PPD tests as the control group. The people who were in preventive administration group were give the medicine to prevent the tuberculosis. All the people were do the X-ray check and the PPD tests after six months. Results The tuberculosis percentage of preventive administration group, the non-administration group and the control group were 0.36%, 3.46% and 2.76% respectively. Conclusion It is effective to decrease the tuberculosis morbidity rate in preventive medicine.