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目的研究江西省2012年在校学生肺结核报告发病率及疫情流行特点。方法由国家传染病报告信息管理系统获取全人群与学生报告肺结核发病病例情况,依据江西省统计年鉴统计在校学生人数,两者结合共同计算全人群、学生肺结核报告发病率。由结核病管理信息系统获得全人群与学生登记肺结核患者人口学特征、诊断分类及治疗预后数据。然后对全人群和学生肺结核疫情进行比较分析。结果 2012年江西省全人群肺结核报告发病率为75.96/10万,在校学生肺结核报告发病率为10.26/10万。2012年全省11个设区市中,南昌市的学生肺结核报告发病率最高(16.54/10万),抚州市的学生肺结核报告发病率最低(3.04/10万)。2012年登记学生患者中涂阳患者比例为31.27%,低于全人群患者中涂阳患者比例(51.61%),二者差异有统计学意义(χ2=187.41,P值<0.05)。学生患者的初治涂阳治疗转归的治愈率(98.25%)及涂阴患者治疗转归的完成疗程率(98.25%)均高于全人群患者(95.33%、96.63%),差异均有统计学意义(χ2值分别为6.49和5.38,P值均<0.05)。结论 2012年江西省在校学生肺结核报告发病率约为全人群报告发病率的1/7,学生登记涂阳患者的比例偏低,而学生初治涂阳患者的治愈率和涂阴患者的完成疗程率较高。但全省学校结核病控制工作也存在一些问题,仍需要进一步改善。
Objective To study the incidence and epidemic situation of pulmonary tuberculosis among school students in Jiangxi Province in 2012. Methods The national infectious disease reporting information management system was used to obtain the total population and students’ reports of tuberculosis cases. Based on the statistics of Jiangxi Province, the number of students in school was counted, and the combined incidence of tuberculosis among the whole population and students was calculated. The demographic characteristics, diagnostic classification and prognosis data of patients with tuberculosis were enrolled in the whole population and students by the TB Management Information System. Then the whole population and students of tuberculosis epidemic comparative analysis. Results The incidence of tuberculosis in the whole population in Jiangxi Province in 2012 was 75.96 / 100 000, and the incidence of tuberculosis in school students was 10.26 / 100 000. In 2012, the incidence of tuberculosis among students in 11 districts and cities in Nanchang was the highest (16.54 / 100000), and the lowest was in Fuzhou (3.04 / 100000). In 2012, 31.27% of smear-positive patients were enrolled in the enrollment, which was lower than 51.61% of smear-positive patients in the whole population (χ2 = 187.41, P <0.05). The cure rate (98.25%) and the complete treatment rate (98.25%) of the patients treated with smear-positive treatment were higher than those of the whole population (95.33%, 96.63%), with statistical differences Significance (χ2 values were 6.49 and 5.38, P <0.05). Conclusions The incidence of tuberculosis in school students in Jiangxi Province in 2012 was about 1/7 of that in the whole population, and the percentage of students registering smear positive was low. The cure rate of smear-positive students and the completion of smear-negative patients Higher rate of treatment. However, there are still some problems in TB control in schools across the province, which still need further improvement.