北京某高校2012年-2015年入学新生结核菌素试验结果调查分析  

Investigation and analysis of purified-protein derivative test results among freshman in a university in Beijing during 2012-2015

作　　者：崔惠景[1] 王蕴慧[2] 庄润涛[1] 

机构地区：[1]北京交通大学医院,北京100044 [2]中央财经大学医院,北京100081

出　　处：《中国卫生检验杂志》2016年第6期897-898,902,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的调查北京市某高校2012年-2015年入学新生结核菌素(PPD)试验结果,为学校结核病的有效防治提供科学依据。方法对北京市某高校2012年-2015年13 634名入学新生实施结核菌素纯蛋白衍生物(TB-PPD)试验,结合胸部X线检查,进行结核病确诊。结果 13 634名入学新生PPD阳性2 664例,阳性率为19.54%;其中男生为20.39%(1 685/8 265),女生为18.23%(979/5 369),男女间差异有统计学意义(χ2=9.595,P=0.002<0.05);PPD强阳性612例,强阳性率为4.49%,其中男生为4.67%(386/8 265),女生为4.21%(226/5 369),男女间差异无统计学意义(χ2=1.613,P=0.204>0.05)。共确诊肺结核患者10例,患病率为73.35/10万。结论通过PPD试验筛查高校入学新生结核病患病情况,积极采取措施,可有效地控制结核病在高校人群间传播和流行。Objective To investigate the purified- protein derivative（ PPD） test results of new students in a university in Beijing,so as to provide scientific evidence for tuberculosis（ TB） control and prevention in this school. Methods Tuberculosis purified protein derivative（ TB- PPD） test were implemented on 13 634 new students enrolled during 2012- 2015,and definite diagnosis was made in combination with chest X- ray examination. Results In total of 13 634 new students,PPD test was positive among 2 664 students,with the positive rate of 19. 54%; the positive rate in male and female was 20. 39%（ 1 685 /8 265）,and 18. 23%（ 979 /5 369）,respectively,there was statistical significance on the difference（ χ^2= 9. 595,P = 0. 002〈 0. 05）;there were 612 intensely positive cases,the intensely positive rate was 4. 49%,the intensely positive rate in male was 4. 67%（ 386 /8 265）,and the intensely positive rate in female was 4. 21%（ 226 /5 369）,there was no statistical significance on the difference between male and female（ χ^2= 1. 613,P = 0. 204 0. 05）. There were 10 pulmonary TB cases detected,and the prevalence rate was 73. 35 /100 000. Conclusion PPD screening in new students in college is a necessary additional method for TB diagnosis,and can effectively control the spread of TB in college.

关 键 词：学生 结核菌素试验 结核 X线检查 

分 类 号：R52[医药卫生—内科学]