食品与公共卫生从业人员健康体检肺结核流行情况与整改措施分析  

Analysis of Pulmonary Tuberculosis Prevalence and Rectification Measures in Health Examination of Food and Public Health Practitioners

作　　者：罗秀凤[1] 许旭艳[1] 沈波[1] 陈泉怡[1] 陈建晟[1] LUO Xiufeng;XU Xuyan;SHEN Bo;CHEN Quanyi;CHEN Jiansheng(Fuzhou Center for Disease Control and Prevention,Fuzhou 350004,China)

机构地区：[1]福州市疾病预防控制中心,福建福州350004

出　　处：《中外医学研究》2022年第19期158-161,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析本市食品与公共卫生从业人员健康体检肺结核流行情况与整改措施。方法:福州市疾病预防控制中心对本市2015年1月-2020年12月食品与公共卫生从业人员364 887例通过体检方式进行肺结核检查,统计X线胸透检查资料进行统计分析。结果:364 887例从业人员中共检测出243例肺结核患者,总检出率为0.066 6%,各年份肺结核检出率对比差异无统计学意义(P>0.05),243例患者中,有151例从事食品行业,检出率为0.083 1%,92例为公共场所行业,检出率为0.050 2%,两种不同行业检出率对比差异有统计学意义(P<0.05),不同性别对比差异有统计学意义(P<0.05)。243例患者中,共检出单侧病变174例,占比71.60%;共检出双侧病变36例,占比28.40%,单侧下肺未出现病变。结论:需对本市食品及公共卫生从业者加大管理力度,进行定期健康体检,及时发现无症状肺结核患者,根据本市流行情况采取有效整改方案有效抑制疾病传播,同时在从业人员中大力宣传。Objective:To analyze the prevalence and rectification measures of pulmonary tuberculosis in health examination of food and public health practitioners in this city.Method:From January 2015 to December 2020,364 887 cases of food and public health practitioners in Fuzhou were examined for tuberculosis through physical examination by Fuzhou Center for Disease Control and Prevention,and the data of X-ray chest examination was statistically analyzed.Result:A total of 243 patients with pulmonary tuberculosis were detected in 364 887 cases,with a total detection rate of 0.066 6%.There was no difference in the detection rate of pulmonary tuberculosis in each year (P>0.05).Among the 243 patients,151 were engaged in the food industry,with a detection rate of 0.083 1%,and 92 were in the public place industry,with a detection rate of 0.050 2%,there was difference in the detection rate of two different industries (P<0.05),and there was difference in the comparative data of different gender (P<0.05).Among 243 patients,unilateral lesions were detected in 174 cases,accounting for 71.60%;36 cases of bilateral lesions were detected,accounting for 28.40%,and no lesions were found in unilateral lower lung.Conclusion:It is necessary to strengthen the management of food and public health practitioners in the city,conduct regular physical examination,timely find asymptomatic pulmonary tuberculosis patients,take effective rectification plans according to the epidemic situation of the city,effectively curb the spread of the disease,and vigorously publicize among the practitioners.

关 键 词：食品与公共卫生 从业人员 健康体检 肺结核 

分 类 号：R521[医药卫生—内科学]