2014—2018年江苏宜兴市学生肺结核疫情分析

Analysis of pulmonary tuberculosis epidemic among students in Yixing City,2014-2018

目的通过对2014—2018年宜兴市学生肺结核病例的处置分析,为学生肺结核防控提供依据。方法对宜兴市2014—2018年发生的学生肺结核病例采用描述流行病学进行分析。结果宜兴市2014—2018年共发生肺结核患者1614人,其中学生肺结核患者135人,占8.36%,卡方趋势分析这几年来存在升高趋势(χ2=3.46,P<0.001),年均发病率2.27/10万,男性多于女性,年龄分布以16~18岁为主,职业以高中生为主,发病高峰主要受聚集性疫情影响集中在6月与12月。结论宜兴市肺结核疫情总体而言已呈现下降趋势,但学生肺结核病例近几年曾现上升趋势,主要由于暴发疫情引起,后期要加强卫生与教育部门的合作,对病例的早发现有重要意义。

Objective To analyze the treatment of pulmonary tuberculosis among students in Yixing City from 2014 to 2018,and to provide a basis for prevention and control of pulmonary tuberculosis in students.Methods A descriptive epidemiology method was used to analyze the cases of pulmonary tuberculosis in students from 2014 to 2018 in Yixing City.Results There were 1,614 pulmonary tuberculosis cases in 2014-2018 in Yixing City,among which 135 were students with pulmonary tuberculosis,accounting for 8.36%of the total cases.The average annual incidence rate was 2.27/100,000.There were more males than females.The age distribution ranged from 16 to 18 years old.High school students were the main population,and the peak incidence was mainly concentrated in June and December.Conclusion The tuberculosis epidemic in Yixing City has generally shown a downward trend,but the number of cases of tuberculosis in students has been on the rise in recent years,mainly due to the outbreak.The cooperation between the health and education departments should be strengthened in the future.Early detection of the cases is of great significance.