2011-2019年江西省学生肺结核流行特征分析  

Epidemiological characteristics of pulmonary tuberculosis in students in Jiangxi,2011-2019

作　　者：彭小梅[1] 刘月园[1] 黄文辉[1] Peng Xiaomei;Liu Yueyuan;Huang Wenhui(Jiangxi Province Center for Disease Control and Prevention,Nanchang 330029,Jiangxi,China)

机构地区：[1]江西省疾病预防控制中心,江西南昌330029

出　　处：《疾病监测》2021年第10期1044-1047,共4页Disease Surveillance

摘　　要：目的了解江西省学生肺结核流行特征,为制定学校结核病防控措施提供依据。方法收集江西省结核病管理信息系统中学生肺结核发病资料及江西省统计年鉴中学生人口资料。结果江西省2011—2019年学生肺结核平均登记率为12.52/10万,病原学阳性肺结核患者平均登记率为3.41/10万,9年来活动性肺结核登记率呈上升趋势(趋势χ^(2)=20.793,P<0.05)。共登记9660例,男、女性别比为1.76∶1。患者以15~19岁居多,第一、二季度发病数较多。发现方式以转诊最多(4406例,45.61%),追踪的占比呈逐年上升趋势(趋势χ^(2)=67.844,P<0.001)。结论要继续加大学生肺结核发现力度,提高新生入学体检结核病筛查比例,及时有效地处置散发疫情,强化病原学诊断,重点关注高中和大学学生,关注每年第一、二季度疫情态势,深入开展结核病核心知识健康教育等。Objective To explore the epidemiological characteristics of pulmonary tuberculosis(TB)in students in Jiangxi,and provide evidence for the development of TB prevention and control measures in schools.Methods The incidence data of pulmonary TB in students in Jiangxi were collected from TB Management Information System and student demographic information were collected from Jiangxi Statistical Yearbook.Results From 2011 to 2019,the average registration rate of pulmonary TB in students in Jiangxi was 12.52/100000,and the average registration rate of students with pathogenic positive TB was 3.41/100000.Over the past nine years,the registration rate of pulmonary TB in students showed an upward trend(χ^(2)=20.793,P<0.05).A total of 9660 cases of pulmonary TB were registered in Jiangxi,and the male to female ratio of the cases was 1.76∶1.Most pulmonary TB cases were aged 15–19 years,and most cases occurred in the first and second quarter of a year.Referral was the most common way of case finding(4406,45.61%),and the proportion of case tracking increased year by year(χ^(2)=67.844,P<0.001).Conclusion In the future,we should continue to strengthen the detection of TB in students,improve the TB screening for freshmen,make rapid response to sporadic cases,strengthen the etiological diagnosis,focus on high school and university students,pay attention to the epidemic in the first and second quarter of each year and strengthen the health education about TB prevention in students.

关 键 词：结核 肺 学生 登记 流行 

分 类 号：R211[医药卫生—中医学] R521