2006-2010年浙江省台州市学生肺结核流行病学分析  

Epidemiology of pulmonary tuberculosis in students in Taizhou,Zhejiang,2006-2010

作　　者：张惠芬[1] 

机构地区：[1]台州市疾病预防控制中心,浙江台州318000

出　　处：《疾病监测》2012年第5期375-378,共4页Disease Surveillance

摘　　要：目的了解浙江省台州市学生肺结核流行特征,为学校结核病防治工作提供依据。方法采用描述流行病学方法对台州市2006-2010年结核病管理信息系统中学生肺结核发病资料进行统计分析。结果 2006-2010年学生肺结核发病610例,占总病例数的3.17%;学生整体肺结核报告发病率为11.87/10万,2009年学生整体报告发病率为最高,为15.79/10万;发病以高中学生为主,占学生发病数的69.67%;发生聚集性疫情34起205例,罹患率为11.33%,发病以4月为主,其发现方式主要是因症就诊(42.79%),依次为转诊(30.82%),中(高)考体检发现(17.54%)、密切接触者筛查(8.85%);就诊延误率达46.72%。结论台州市学校学生结核病发病人数处于较低水平,但发病率高于全国平均水平,并存在聚集性疫情,同时学生结核病就诊延误较为严重,应进一步加强学校结核病防治工作。Objective To understand the epidemiological characteristics of pulmonary tuberculosis （TB） in students in Taizhou and provide evidence for the pulmonary TB prevention and control in schools. Methods Descfiptve epidemiological analysis was conducted on the incidence data of pulmonary TB in students in Taizhou from 2006 to 2010 collected from the local tuberculosis management information system. Results During this period, 610 pulmonary TB cases occurred in students, accounting for 3. 17% of the total cases. The overall incidence of pulmonary TB in students was 11.87/lakh and the annual incidence in 2009 was highest （15.79/lakh）. The cases mainly occurred in senior middle school students, accounting for 69. 67% of the total cases in students. Thirty four TB cluster epidemics occurred involving 205 cases, the attack rate was 11.33%. The high incidence of TB was in April of a year. The cases were mainly detected in patients＇ medical care seeking （42. 79% ）, followed by referral （30. 82% ）, health examination for college （senior middle school） entrance （ 17.54% ） and close contact screening （8. 85% ）. The medical care seeking for TB was delayed in 46. 72% of the cases. Conclusion The pulmonary TB case number in students was low in Taizhou, but the incidence was higher than average national level. Additionally the clusters of TB cases were detected and the proportion of delayed medical care seeking was high. It is necessary to strengthen the TB prevention and control in schools.

关 键 词：学生 肺结核 聚集性疫情 流行病学 

分 类 号：R521[医药卫生—内科学]