2013—2018年西部某高校传染性肺结核病发病情况分析  

Analysis on incidence of infectious pulmonary tuberculosis in a university in Western China from 2013 to 2018

作　　者：白昕雨 林梅[1] 余芳[1] 刘胜[1] 谢丽君[2] 王开银[2] 古仕明[1] 张光贵 孙宏英[3] 王小丽 BAI Xin-yu;LIN Mei;YU Fang;LIU Sheng;XIE Li-jun;WANG Kai-yin;GU Shi-ming;ZHANG Guang-gui;SUN Hong-ying;WANG Xiao-li(Sichuan College of Traditional Chinese Medicine,Mianyang 621000,Sichuan,China)

机构地区：[1]四川中医药高等专科学校,四川绵阳621000 [2]四川中医药高等专科学校校医院 [3]绵阳市疾病预防控制中心 [4]绵阳市涪城区疾病控制中心

出　　处：《中国校医》2021年第9期651-653,666,共4页Chinese Journal of School Doctor

基　　金：绵阳市科学技术局科研项目(2020YJKY015);四川中医药高等专科学校课题(20SHYB15)。

摘　　要：目的了解西部某高校传染性肺结核病发病情况,为高校结核病防控和政府决策提供依据。方法选取该校2013—2018年在校生,采用现场、跟踪和回顾性调研方法,对该校在校学生的年龄、生源地、民族、结核病发病情况进行分析。使用Excel 2010建立数据库,采用SPSS 22.0软件进行统计分析,对学生的年龄、生源地、民族、病例分布、发病情况进行描述性分析,率的比较用χ^(2)检验,以P<0.05为差异有统计学意义。结果该校2013—2018年在校生中结核病发病以大专新生为主,发病率高的地域是少数民族地区(甘孜州、阿坝州、凉山州),发病率高的民族是彝族;2017—2018年新生结核病发病率高的地域是少数民族地区(甘孜州、阿坝州、凉山州),发病率高的民族是彝族,差异均有统计学意义,高于全国水平。结论高校结核病防控工作不容乐观,应加强对新入学学生,尤其是来至边远山区、少数民族地区和少数民族学生肺结核病的筛查和管理,加强健康教育,并从政府层面给予支持,以利于高校学生肺结核病疫情的防控。Objective To understand the incidence of infectious pulmonary tuberculosis in a university in Western China, so as to provide the evidence for the prevention and control of tuberculosis and government decision-making.Methods The students of a university in Western China from 2013 to 2018 were selected, and the age, origin, nationality and tuberculosis incidence of them were investigated by using the field, tracking and retrospective methods.The database was established by Excel 2010, and the data were statistically analyzed by SPSS 22.0 software.The descriptive analysis was conducted on the age, source, nationality, case distribution and incidence of the students.The comparison of the rates was conducted by chi square test, and the difference was statistically significant with P < 0.05.Results From 2013 to 2018, the incidence of tuberculosis was mainly among junior college students.The high incidence rate was in the minority nationality areas(Ganzi Prefecture, Aba Prefecture, Liangshan Prefecture), and the high incidence of ethnic group was Yi nationality.The incidence rate of tuberculosis from 2017 to 2018 was high in the minority areas(Ganzi Prefecture, Aba Prefecture, Liangshan Prefecture), and the high incidence of ethnic group was Yi nationality too, with a statistically significant difference,which was higher than the national level.Conclusion The prevention and control of tuberculosis in colleges and universities is not optimistic.It is necessary to strengthen the screening and management of tuberculosis among newly enrolled students, especially those who come from the remote mountainous areas, ethnic minority areas and ethnic minority areas,strengthen the health education, and provide the support from the government level so as to facilitate the prevention and control of tuberculosis epidemic situation among the college students.

关 键 词：西部高校 肺结核 发病情况分析 

分 类 号：R521[医药卫生—内科学]