庞艳, 胡代玉, 吴成果, 刘英, 汪清雅. 2015-2016年重庆市学校肺结核疫情监测结果[J]. 疾病监测, 2017, 32(8): 670-673. DOI: 10.3784/j.issn.1003-9961.2017.08.014
引用本文: 庞艳, 胡代玉, 吴成果, 刘英, 汪清雅. 2015-2016年重庆市学校肺结核疫情监测结果[J]. 疾病监测, 2017, 32(8): 670-673. DOI: 10.3784/j.issn.1003-9961.2017.08.014
PANG Yan, HU Dai-yu, WU Cheng-guo, LIU Ying, WANG Qing-ya. Surveillance for tuberculosis in schools in Chongqing,2015-2016[J]. Disease Surveillance, 2017, 32(8): 670-673. DOI: 10.3784/j.issn.1003-9961.2017.08.014
Citation: PANG Yan, HU Dai-yu, WU Cheng-guo, LIU Ying, WANG Qing-ya. Surveillance for tuberculosis in schools in Chongqing,2015-2016[J]. Disease Surveillance, 2017, 32(8): 670-673. DOI: 10.3784/j.issn.1003-9961.2017.08.014

2015-2016年重庆市学校肺结核疫情监测结果

Surveillance for tuberculosis in schools in Chongqing,2015-2016

  • 摘要: 目的 通过分析2015-2016年重庆市学校肺结核监测结果,了解学校肺结核疫情特征,为制定有效的学校肺结核监测防控措施提供参考。方法 应用Excel 2007软件建立重庆市学校肺结核疫情监测数据库,以辖区内学校为监测单位,收集2015-2016年重庆市学校结核疫情,采用SPSS 16.0软件进行描述性分析和2检验。结果 学生肺结核患者主要分布在公办、寄宿制学校,特别是高级中等教育阶段及中等职业教育阶段。2015年(趋势2=2 494.14,P0.01)和2016年(趋势2=2 713.45,P0.01)学生肺结核患者登记率均随着教育阶段的上升有逐步上升趋势,2015年和2016年高级中等教育阶段的学生肺结核患者登记率分别为98.37/10万和103.98/10万,2016年中等职业教育阶段的学生肺结核患者登记率为89.02/10万,均高于同期常住人口患者登记率。2015年和2016年学生涂阴患者比例分别为79.21%和77.08%,学生未查痰患者比例分别为2.26%和1.77%,学生胸膜炎患者比例分别为6.15%和7.21%,均高于同期全人群对应比例,差异有统计学意义(P0.05)。结论 重庆市高级中等教育阶段和中等职业教育阶段的学生结核病疫情较高,特别是寄宿制学生患病比例高,学生涂阴患者和胸膜炎患者比例均高于全人群,学校是防控工作的重点。加强主动监测对辖区内学校肺结核防控具有重要意义。

     

    Abstract: Objective To understand the characteristics of tuberculosis (TB) in schools in Chongqing from 2015 to 2016. Methods The school TB surveillance database in Chongqing was established with Excel 2007 to collect TB epidemic information in local schools during this period, SPSS 16.0 software was used for statistical analysis, i.e. descriptive analysis and 2 test. Results The TB patients were mainly distributed in public schools and boarding schools, especially in senior secondary education period and secondary vocational education period. The registration rate of TB patients in schools increased gradually with the increase of education level in 2015(trend2=2 494.14,P0.01) and 2016(trend2=2 713.45,P0.01). The TB registering rates in students receiving senior secondary education were 98.37/100 000 and 103.98/100 000 respectively in 2015 and 2016, and the TB registering rate in students receiving secondary vocational education was 89.02/100 000 in 2016, which were higher than the rates in general population during the same period. In 2015 and 2016, the proportion of smear negative patients were 79.21% and 77.08%, the proportions of students receiving no sputum check were 2.26% and 1.77%, the proportions of students patients with tuberculous pleurisy were 6.15% and 7.21%, which were higher than those in general population during same period, the differences were significant (P0.05). Conclusion The incidence of TB was high in the students receiving senior secondary education and secondary vocational education in Chongqing, especially in the students of boarding schools. The incidences of smear negative TB and pleurisy were higher in students than in general population, indicating the focus in TB prevention and control in schools. It is of great importance to strengthen the active surveillance for TB prevention and control in schools in Chongqing.

     

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