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2012—2019年贵阳市学生肺结核流行病学特征分析
引用本文:陈洪,张彬兵,白璐璐,佘敏.2012—2019年贵阳市学生肺结核流行病学特征分析[J].现代预防医学,2021,0(7):1169-1172.
作者姓名:陈洪  张彬兵  白璐璐  佘敏
作者单位:贵阳市疾病预防控制中心结核病防治科,贵州 550001
摘    要:目的 分析贵阳市学生肺结核流行病学特征,为进一步完善我市学校结核病防控工作提供参考依据。方法 通过“中国疾病预防控制信息系统”收集2012—2019年贵阳市学生肺结核病例资料,采用SPSS 18.0统计分析软件分析学生肺结核流行病学特征及其变化趋势。 结果 2012年学生肺结核报告发病率为23.96/10万,病原学阳性报告发病率为7.14/10万;2019年分别为12.40/10万及4.70/10万,与2012年比较,2019年学生肺结核报告发病率下降了48.24%,病原学阳性报告发病率下降了34.17%。第二季度报告人数最多(493例),占报告总数的28.73%(493/1716)。发病年龄以16~20岁为主(977例),占报告总数的56.93%(977/1716);病例主要分布在花溪区、清镇市及开阳县,占贵阳市学生报告总数的22.07%、17.71%及11.82%;患者来源以转诊为主,占36.19%(621/1716),2012—2019年转诊及因症就诊所占比例呈下降趋势,追踪及健康检查占比增加;平均就诊延迟率为48.08%,就诊延迟患者病原学阳性率高于未就诊延迟者。结论 2012—2019年,贵阳市学生肺结核报告发病率呈下降趋势,16~20岁为高发年龄段,花溪区报告人数最多;患者来源以转诊为主,就诊延迟患者病原学阳性率高;学生肺结核疫情形势严峻,应继续加强教育与卫生部门的联系,针对重点地区、重点人群和高发时段开展重点防控工作,保护广大师生健康安全。

关 键 词:肺结核  学生  流行病学

Trend of tuberculosis prevalence during 2012 to 2019 among students in Guiyang city
CHEN Hong,ZHANG Bin-bing,BAI Lu-lu,SHE Min.Trend of tuberculosis prevalence during 2012 to 2019 among students in Guiyang city[J].Modern Preventive Medicine,2021,0(7):1169-1172.
Authors:CHEN Hong  ZHANG Bin-bing  BAI Lu-lu  SHE Min
Affiliation:Guiyang Center for Disease Control and Prevention,Guiyang, Guizhou 550001,China
Abstract:To analyze the epidemiological characteristics of pulmonary tuberculosis among students in Guiyang city, and provide the reference for further improving the prevention and control strategies. Methods The data of tuberculosis students from 2012 to 2019 were collected through "China disease prevention and control information system", and analyze by SPSS 18.0 statistical analysis software. Results The reported incidence of tuberculosis among students in 2012 was 23.96/100 000 and the incidence rate of etiological positive reports was 7.14/100 000,however, these two rates were 12.40/100 000 and 4.70/100 000 respectively in 2019.The reported incidence of tuberculosis and the incidence rate of etiological positive reports were decreased by 48.24% and 34.17% compared with 2012. The number of tuberculosis cases reported by students in the second quarter was the largest(493), accounting for 28.73% of the total number of reports; The age was mainly concentrated in 16~20 years old(977), accounting for 56.93 %of the total reported(977/1 716); The cases were mainly distributed in Huaxi, Qingzhen and Kaiyang district, accounted for 22.07%, 17.71% and 11.82% of the total number of students registered in Guiyang; The main source of patients was referral, 36.19%(621/1 716),Referral and the proportion of patients seeking medical treatment in different years showed a downward trend, The proportion of follow-up and health examination increased; the delayed seeking treatment of patients was 48.08%, the positive rate of etiology in patients with delayed visit was higher than that in patients without delay. Conclusion From 2012 to 2019, the reported incidence of tuberculosis among students shows a downward trend, the age of 16-20 years old was high; the largest number of people reported in Huaxi; the main source of patients was referral, the positive rate of etiology was high in patients with delayed visit; the situation of tuberculosis in students in Guiyang district is serious, in order to protect the health and safety of teachers and students, we should continue to strengthen the contact between education and health departments, carry out key prevention and control work in key areas, key groups and high incidence periods.
Keywords:Pulmonary tuberculosis  Student  Epidemiology  
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