驻京部队2009-2012年新兵结核感染状况调查  

Survey of tuberculosis Infection and in recruits stationed in Beijing from 2009-2012.

作　　者：李桥[1] 赵文娟[1] 彦西军 董恩军[1] 高玉然[1] 丹子军[1] 张翠英[1] 

机构地区：[1]解放军第309医院全军结核病研究所 [2]解放军61539部队卫生队

出　　处：《中国热带医学》2013年第12期1475-1476,1479,共3页China Tropical Medicine

基　　金：军队后勤十二五科研重点项目(No.BWS11J050)

摘　　要：目的了解近年来入伍新兵结核感染变化趋势，为部队防治结核病提供科学依据。方法于2009—2012年连续4年对驻京部队入伍男性新兵进行结核感染率调查，同时查验双上臂是否有卡介苗接种疤痕，计算结核自然感染率。结果入伍新兵结核菌素试验阳性率为48．5％一58．0％，平均为52．0％，新兵结核菌素试验阳性率呈缓降趋势。强阳性率为2．2％一4．1％，平均为3．0％，强阳性呈缓降趋势。新兵结核自然感染率为25．2％～27．5％，平均为26．3％，平均年感染率为1．59％。新兵自然感染率4年中差异无统计学意义（黔0．05）。结核感染率农村新兵为25．2％，城市新兵为27．7％。城市籍新兵自然感染率和年感染率高于农村籍新兵。结论结核自然感染率近年来无明显变化，是军队结核病发病率居高不降的主要原因。Objective To describe the recent tuberculosis infection status and dynamic variation in newly enrolled soldiers and provide guidance for TB control in army. Methods Purified protein derivative of tuberculin （PPD）test was performed in newly enrolled soldiers stationed in Beijing from 2009 to 2012.The PPD reaction was examined after 72 h. The PPD positive rate distribution was calculated and the infection rate was judged by positive reaction with no scar on forearm. Results The PPD positive rate in newly enrolled soldiers was from 48.5%-58.0% and the average positive rate was 52.0% showed a descending trend.. The strong positive rate of PPD test was from 2.2% -4.1% and the average was 3.0%, showed a descending trend. The infection rate of TB in newly enrolled soldiers was 25.2%-27.5%, being averagely 26.3% ,the annual average infection rate of tuberculosis was 1.59%. There was no statistically significant difference in TB infection rate in the four years（PM）.05）. Tubercular infection rate in urban soldiers（27.7%）was significant higher than the soldier from rural area （25.2%）（P〈0.05）. Conclusions The natural infection rate of TB was stable that is the main cause leading to the high infection rate in army.

关 键 词：军队 新兵 结核菌素试验 结核自然感染率 

分 类 号：R521[医药卫生—内科学]