2015—2019年河北省学生肺结核报告发病特征及分析  

Characteristics and analysis on reported incidence of tuberculosis among students in Hebei Province from 2015 to 2019

作　　者：樊利红[1] 李国刚[1] 商秀丽[2] 李俊娟[1] 王丽芳[1] 赵辉生[1] FAN Li-hong;LI Guo-gang;SHANG Xiu-li;LI Jun-juan;WANG Li-fang;ZHAO Hui-sheng(Hebei Province Center for Disease Control and Prevention,Shijiazhuang 050021,China)

机构地区：[1]河北省疾病预防控制中心,石家庄050021 [2]唐山市疾病预防控制中心

出　　处：《医学动物防制》2021年第8期731-734,共4页Journal of Medical Pest Control

基　　金：河北省卫生厅科技基金项目—河北省结核病耐药性流行病学调查(20190973)。

摘　　要：目的对2015—2019年河北省学生肺结核报告发病特征进行分析,为学生肺结核疫情控制提供参考。方法收集2015—2019年中国疾病预防控制信息系统法定传染病监测系统中有关学生肺结核疫情数据,分析学生肺结核报告发病的三间分布和疫情变化趋势。结果2015—2019年河北省学生肺结核报告发病数占全人口肺结核报告发病数的比例呈总体上升趋势,不同年份学生肺结核报告发病率比较,差异无统计学意义(χ^(2)=20.0,P>0.05);各年龄学生报告发病构成比15~19岁组(高中阶段)占比最高,其次为20~24岁组(大学阶段),不同年份不同年龄组构成比较,差异无统计学意义(χ^(2)=20.0,P>0.05);按职业分类,学生肺结核报告发病数从第4位上升至第2位;2015—2019年各市学生肺结核报告发病情况比较,差异无统计学意义(χ^(2)=90.0,P>0.05),累计报告学生肺结核患者总数居前3位的分别为保定市、石家庄市、邯郸市;学生肺结核报告发病数冬春季节高于夏秋季节。结论学生是结核病防控的重点人群,应加强学校结核病常规防控措施的落实,强化新生入学结核病体检和学校结核病的主动监测。Objective To analyze epidemiological features of reported tuberculosis(TB)among students in Hebei from 2015 to 2019,and to provide reference for control on tuberculosis epidemic among students.Methods The epidemic data of TB among students in statutory infectious disease surveillance system of China Information System for Disease Control and Prevention from 2015 to 2019 were collected,and the distribution and epidemic trend of reported incidence of TB among students were analyzed.Results The proportion of reported TB cases among students in Hebei accounting for the total number of reported TB from 2015 to 2019 showed increasing trend,and the difference in the incidence rate of TB reported at different ages was not statistically significant(χ^(2)=20.0,P>0.05);the reported diseases among students of all ages had the highest proportion in 15-19 years old group(senior high school stage),followed by 20-24 years old group(university stage).The difference was not significant in the composition of different age groups in different years(χ^(2)=20.0,P>0.05);the number of reported TB cases among students by occupation increased from the fourth to the second place;the difference in reported incidence of TB among students in different cities from 2015 to 2019 were not statistically significant(χ^(2)=90.0,P>0.05).Baoding,Shijiazhuang and Handan ranked top three placed in the total number of reported students with TB;the reported incidence of TB in the winter and spring was higher than that in the summer and autumn.Conclusion The students are key populations of TB prevention and control,the implementation of routine TB prevention and control measures in schools should be strengthened,physical examinations on TB of enrolled freshmen and active monitoring on TB in schools should be tightened.

关 键 词：肺结核 学生 报告 分析 发病率 

分 类 号：R521[医药卫生—内科学]