连云港市2008—2017年度学校结核病流行状况  

Epidemiological analysis of pulmonary tuberculosis among students and teachers in Liangyungang from 2008 to 2017

作　　者：杨皓舒[1] 李海朋[1] 徐素珍[1] 付鑫[1] 朱磷扬[1] 许雷[1] 仲崇桥[1] YANG Haoshu;LI Haipeng;XU Suzhen;FU Xin;ZHU Linyang;XU Lei;ZHONG Chongqiao(Lianyungang Center for Disease Control and Prevention slow transmission,Lianyungang( 222000),Jiangsu Province,China)

机构地区：[1]江苏省连云港市疾病预防控制中心慢传科

出　　处：《中国学校卫生》2019年第8期1213-1216,共4页Chinese Journal of School Health

基　　金：江苏省预防医学课题项目(Y2018044)

摘　　要：目的了解连云港市学校结核病流行及发展状况,为学校结核病危险因素分析及防控工作提供参考依据。方法收集2008-2017年连云港市在校学生和教师肺结核疫情数据资料,运用回顾性流行病学方法描述和分析学校结核病流行状况。结果 2008-2017年连云港市共报告学校肺结核病1 112例,年平均报告发病率(14.03/10万)和病原学阳性患者年平均发病率(4.52/10万)均呈逐年下降趋势(Z值分别为4.55和6.83,P值均<0.01),第二季度尤其是4月高发(季度及月份分布的χ~2值分别为68.44,94.99,P值均<0.01);病例平均年龄(20.11±7.54)岁,16~21岁为高发年龄段(74.19%);男、女比为1.87∶1;汉族最多(99.64%),其余为回族、土家族、维吾尔族。教师与学生的报告发病率呈正相关(r_s=0.93,P<0.01);学校人群与普通人群在性别、病人来源、病原学结果、治疗分类、病原学阳性患者治疗结局等方面差异均有统计学意义(χ^2值分别为49.54,528.27,63.55,121.40,9.80,P值均<0.05)。结论连云港市学校结核病报告发病率总体呈逐年递减的趋势,应进一步加强学校结核病防控工作。Objective To understand the prevalence and development of pulmonary tuberculosis(PTB) in students and teachers in Liangyungang over the last ten years, and provide reference for PTB surveillance and control at schools and colleges. Methods The epidemic information of PTB among students and teachers in Lianyungang during 2008-2017 was collected from Chinese Infectious Disease Report Information Management System and Chinese Tuberculosis Information Management System, and analyzed with quantitative description method. Results From 2008 to 2017, 1 112 students and teathers with PTB were found in Lianyungang City, the average reported incidence was 14.03/100 000, pathogenic positive incidence was 4.52/100 000. The above two rates both showed a trend of decline year by year(Z=4.55,6.83, P<0.01). The incidence of registered PTB in schools in the second quarter was the highest, especially in April. Guanyun County has the highest incidence. The average age was(20.11±7.54) years old, and the obvious high-incidence age group was 16-21;the sex ratio between men and women was 1.87∶1. Most of the 1 112 patients were Han, accounting for 99.64%, the rest were Hui, Tujia and Uygur. Teachers’ reported incidence was positively correlated with students’ reported morbidity(r_s=0.93, P<0.01);there were differences between school population and general population in gender, patient origin, etiological results, treatment classification and positive patients’ treatment outcome(χ^2=49.54, 528.27, 63.55, 121.40, 9.80, P<0.05). Conclusion Overall, the reported incidence of PTB in schools in Lianyungang City has been decreasing year by year, however,it should not be taken lightly. Prevention and control of PTB in schools should be further strengthened.

关 键 词：结核 流行病学研究 发病率 学生 

分 类 号：R521[医药卫生—内科学] R183[医药卫生—临床医学]