2013-2015年重庆市大学城高校新生肺结核筛查情况分析  

Analysis of Pulmonary Tuberculosis Screening of College Freshmen in Chongqing College Town from 2013 to 2015

作　　者：罗兴能[1] 钟立[2] 周文洁[1] 李廷荣[1] 龚涛[1] 

机构地区：[1]重庆市沙坪坝区疾病预防控制中心,重庆400038 [2]重庆医科大学附属第一医院健康体检部

出　　处：《预防医学情报杂志》2016年第8期859-862,共4页Journal of Preventive Medicine Information

摘　　要：目的了解重庆市大学城高校新生肺结核筛查工作现状,分析新生肺结核疫情特征,为进一步做好高校结核病防控工作提供依据。方法收集2013-2015年重庆市大学城高校新生结核病筛查资料,采用描述性统计分析方法分析结果,组间比较运用χ2检验,以P<0.05为差异有统计学意义。结果 3年间10所高校共筛查新生134 781人,均采用胸部透视的方式;筛查时间较仓促,平均每人胸部透视仅为21.38 s;新检出学生结核患者共计52例,检出率达38.58/10万,且不同年份不同高校疫情存在差异;新检出结核患者的流动性大,本市户籍学生患者27人,市外户籍结核患者25人;因结核导致的休学病例有27例,占新检出病例总数的51.92%(27/52)。结论高校新生结核疫情仍然严峻,入学结核筛查仍然十分必要。结核筛查工作有待进一步完善,应特别关注学生结核患者的流动性问题,学生患者的休复学管理也需要进一步规范。Objective To find out the status of tuberculosis screening among college freshmen in Chongqing College Town, and analyze the epidemic characteristics of freshmen tuberculosis patients, so as to provide a basis for further improving the prevention and control of tuberculosis in colleges. Methods TB screening data of freshmen was collected from 2013 to 2015 in Chongqing College Town and analyzed with descriptive statistical method. Chi - square test was used for comparison between groups, and P 〈 0.05 was set as the criteria of sta- tistical difference. Results A total of 134 781 college freshmen were examined in 10 colleges from 2013 to 2015, and chest X - ray was used in the screening. The time of screening was in haste, and the average examined time of each student was only 21.38 seconds. 52 new TB cases were detected in three years, and the new case detection rate was 38.58/106 （52/134 781 ）. TB epidemic in different years and different colleges was significantly different. 27 new detecting TB cases came from local city, and the remaining came from other provinces. And there were also 27 new detecting TB cases who were not permitted the college admission. Conclusion College freshmen tuberculosis epidemic is still grim, and freshmen tuberculosis screening is still necessary. The quality of TB screening needs to be improved. The mobility of TB patients in college deserves special attention. Further regulating is needed in management of dropping out and returning to college for students TB patients.

关 键 词：大学新生 结核 肺 筛查 分析 

分 类 号：R521[医药卫生—内科学]