山西省农村寄宿制学校结核病筛查情况分析

Analysis of TB screening in rural boarding school in Shanxi

目的分析山西省农村寄宿制学校结核病筛查情况,针对筛查结果采取有效干预措施,为进一步做好山西省学校结核病防治工作提供科学依据。方法根据《山西省农村寄宿制学生结核病筛查方案》及《山西省农村寄宿制学校结核病筛查实施细则》对全省小学、初中、高中、特殊教育4类学校学生及教职工进行筛查。结果 528 215例学生和教职工中有结核病可疑症状者906例(0.16%),PPD强阳性人数13 067例(2.470%)、胸片异常1 144例(0.217%),确诊活动性肺结核患者103例(0.020%),涂阳患者32例(0.006%),预防性服药者1 214例(9.291%)。PPD强阳性率大同市最高为3.29%;PPD强阳性者预防性服药率忻州最高为28.571%;确诊肺结核患者占筛查总人数的比例各市差异有统计学意义(χ~2=39.62,P<0.05),吕梁市最高为0.043%,其次为阳泉市0.029%。结论学校结核病筛查是主动发现肺结核患者的有效手段,通过筛查,可以早期发现学校结核病患者及潜伏感染者,并采取有效干预措施,保护患者及易感者,有效防止学校聚集性结核病疫情发生。

Objective To analysis the situation of TB screening in rural boarding school in Shanxi province,take effective intervention measures for screening results, provide scientific basis and direction for TB control in schools.Methods According to 'Shanxi Province rural boarding system students TB screening program' and 'Shanxi Province rural boarding system school TB screening implementation rules',the province’s primary school,middle school,high school,special education type of school students and staff were screened.Results Among the 528 215 students and staff,906(0.16%) had suspicious symptoms of tuberculosis,13 067(2.47%) had strong positive PPD,1 144(0.217%) had abnormal chest radiographs,103(0.02%) had confirmed active turberculosis,32(0.006%) had smear positive and 1 214(9.291%) had taken preventive drugs.The rate of PPD strongly positive in Datong city was the highest with the rate of 3.29% in Shanxi province.The rate of taking anti TB medicine for prevention in Xinzhou city was 28.571%,and it was the highest in Shanxi province.The highest proportion of TB patients to screening people was 0.043% in Lyuliang city then 0.029% in Yangquan.And the difference was statistically significant(χ~2=39.62,P<0.05).Conclusion School tuberculosis(TB) screening is an effective method for active found tuberculosis patients,through screening,patients with tuberculosis and latent infection can be detected early school,and take effective intervention measures to protect patients and susceptible people,and effectively prevent the school gathered sexual tuberculosis outbreak.