湖北省某男子监狱在押人员肺结核患病情况调查分析

Analysis of Pulmonary Tuberculosis Screening Results of the Detained Population in a Male Prison of Hubei Province

目的了解湖北省某男子监狱中在押人员的肺结核患病情况,为制定在押人群结核病的有效防控措施提供参考依据。方法随机整群抽取湖北省某监狱中的1 146名在押人员进行胸部X线摄片检查,对有异常阴影者进一步开展痰涂片和痰培养。所有数据经双人采用Excel 2003软件录入,通过SPSS 20.0软件进行统计分析。结果该男子监狱的活动性肺结核患病率为1 588.70/10万,显著高于同年全国结核病流行病学调查中的男性水平(P<0.01),略高于湖北省男性的平均水平;其中,新发现患者占55.56%,复治患者占33.33%。此外,涂阳肺结核患病率为88.26/10万,培阳肺结核患病率为441.31/10万。结论男子监狱内的肺结核疫情亟待重视,应整合社会医疗资源,对在押人员进行定期肺结核筛查,并保障系统规范地给予治疗。

Objectives To understand the pulmonary tuberculosis epidemic status of the detained population in a male pris-on of Hubei province,and to provide reference for making pulmonary tuberculosis prevention and control measures for prison-ers.Methods 1 146 detained persons in the men prison were selected by cluster sampling method for chest X-radio-graphy,further sputum smear and sputum culture were launched for the objects with abnormal shadow.Data base were constructed using an Excel 2003 and analyzed using SPSS 20.0 by two individual independently.Results The prevalence rate of active pulmonary TB was 1 588.70/100 000 in the men prison,which was significantly higher than that of tuberculosis epidemiological survey of the whole nation in the same year （P 〈0.01）,and slightly higher than that of the average level of men in Hubei province.Among active patients,55.56% were new finding and 33.33% were retreatment patients.Besides,the pulmonary TB prevalence of smear-positive and that of culture-positive were 88.26/100 000 and 441.31/100 000 respectively.Conclusions Urgent attention should be paid on the pulmonary tuberculosis epidemic in this men prison.Integrating social medical resources is necessary to develop reg-ular tuberculosis screening and systematic standard treatment for prisoners.