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目的了解平顶山市学生肺结核流行特征,为学校肺结核防治工作提供依据。方法收集平顶山市2013-2015年大中专院校新生结核病体检结果。2013--2015年市区大中专院校新入学新生分别有33 298、33361、33 445人,首先对受检学生做结核菌素试验,结核菌素试验阳性者,做胸片检查,筛查结核病患者。结果三年来平顶山市区大中专39所学校新生应检人数100 104人,实检人数98 040人,实检率97.90%,复检人数5 424人,复检率5.53%。PPD反应一般阳性者35 400人,阳性率36.10%;强阳性反应者5 424人,强阳性率5.53%。确诊51人,患病率为520/10万,51例病人进行痰结核菌涂片检查,涂阳病人3例,涂阳患病率31/10万。结论学校结核病防控要加强部门沟通合作,加强主动监测和处置,加强联合督导检查,共同做好学校结核病防控工作。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis among students in Pingdingshan City, and to provide the basis for the prevention and control of tuberculosis in schools. Methods The freshmen’s physical examination results were collected from 2013 to 2015 in Pingdingshan City. In 2013-2015, 33 298,33361 and 33445 freshmen enrolled in urban colleges and secondary technical colleges respectively. First of all, they should make tuberculin test and tuberculin test positive, Tuberculosis patients. Results In the past three years, there were 100 104 freshmen in 39 schools in Pingdingshan City, with a total of 98 040 examinees, the actual examination rate was 97.90%, the number of re-examination was 5 424 and the re-examination rate was 5.53%. 35 400 were positive for PPD reaction, the positive rate was 36.10%; 5 424 were strong positive reaction, the strong positive rate was 5.53%. 51 people were diagnosed with a prevalence of 520 / 100,000. Totally 51 patients were examined for sputum TB bacilli, 3 smear-positive patients and smear-positive prevalence 31/10 million. Conclusion The prevention and control of tuberculosis in schools should strengthen the communication and cooperation among departments, strengthen the active monitoring and treatment, strengthen joint supervision and inspection, and work together to prevent and control tuberculosis in schools.