上海市宝山区外来简易学校学生结核菌素反应状况分析  

The study of current tuberculosis infection status among the temporary resident students in the simple school in Baoshan District

作　　者：曹明[1] 杨卓敏[1] 李明珠[1] 顾见青[1] 李霞[1] 胡伟宏[1] 陈昶[1] 曹诤[2] 赵惠娟[1] 张勤丽[1] 陆丽娜[1] 

机构地区：[1]上海市宝山区疾病预防控制中心,上海201900 [2]上海大学,上海200436

出　　处：《中国防痨杂志》2006年第4期231-234,共4页Chinese Journal of Antituberculosis

摘　　要：目的掌握宝山区外来简易学校学生结核菌素反应现状,为上级主管部门制定在这一特殊人群中开展肺结核病防治工作的政策措施提供科学依据。方法对宝山区4所外来简易学校5 037名学生进行年龄、性别、户籍、来沪年限、卡介苗接种情况、卡痕、结核病接触史、人型-PPD试验、胸片、痰找结核菌整群抽样调查。结果儿童卡介苗接种率65.3%,有卡痕率55.1%,结核病接触史率2.8%。PPD试验阴性率71.6%、阳性率28.4%,(其中强阳性6.5%,异影摄胸片1.1%,需门诊随访3例,确诊为肺结核病1例)。结论对外来简易学校学生结核病防控工作需要加强。Objective To investigate the current tuberculosis(TB) infection status among the temporary resident students in the simple school in Baoshan District,and to provide scientific evidence for policy makers to develop policies and measures to control and reduce the incidence of pulmonary TB among this special population.?Methods 5 037 students from 4 simple schools in this district were investigated through cluster sampling on age,sex,registered permanent resident,the duration of staying in Shanghai,the proportion of BCG inoculation,vaccinated scar,the TB contact history,the test of Human-PPD(purified protein derivative),chest X-ray,the test of tubercle bacillus in sputum.?Results The proportion of child BCG inoculation was 65.3%,the proportion of students with scar was 55.1% and the proportion of positive TB contact history was 2.8%, PPD test with negative result was 71.6%,and with positive result was 28.4%,(advanced positive 6.5%,chest X-ray abnormity 1.1%,3 cases should be followed up clinically and 1 case had been diagnosed as pulmonary TB.?Conclusions The TB infection control among temporary resident students in simple school in Baoshan District should be reinforced.

关 键 词：结核 肺/预防和控制 结核菌素试验 学生 

分 类 号：R521[医药卫生—内科学]