涂阳肺结核密切接触者筛查与随访分析

目的：对涂阳肺结核密切接触者进行筛查与随访,并且分析相关因素以及检出概率。方法：选取2012年6月-2013年6月在肺结核门诊登记的421例涂阳肺结核患者,并对其密切接触者进行分析。结果：在涂阳肺结核密切接触者中,子女检出的概率为0.25%,父母检出的概率为2.34%,配偶检出的概率为5.45%。父母、配偶的检出概率与子女检出概率比较差异有统计学意义（P〈0.05）;不同年龄组、不同文化程度的密切接触者中,检出涂阳患者的概率比较差异具有统计学意义（P〈0.05）;是否与涂阳肺结核患者在一个房间居住,检出涂阳患者概率比较差异有统计学意义（P〈0.05）。结论：对涂阳肺结核患者的家庭密切接触者进行检查,是掌握肺结核感染与发病的最早时点,对密切接触者定期随访检查能发现相当多的患者,其检出率也高,从而达到发现患者控制结核病传播的目的。

Screening and Follow-up Analysis on Close Contacts of Smear Positive Tuberculosis/FAN Xiang-yang.

Objective： To conduct the close contacts of smear positive tuberculosis screening and follow- up analysis, and then analyze the correlated factors and detection probabilities. Method： 421 cases of tuberculosis in registered in the outpatient of our hospital from June 2012 to June 2013 were selected and the close contacts were analyzed. Result： In the close contacts of smear positive tuberculosis, the children detection rate was 0.25%, the parents detection rate was 2.34%, the spouse detection rate was 5.45%. Compared the parents and spouse detection rate with the children detection rate, and the differences had statistical significance （ P〈0.05 ） ; the close contacts in different age groups, different culture degree, the detection probability of smear-positive patients were compared, the differences were statistically significant （ P〈0.05 ） ; whether patients with smear-positive pulmonary tuberculosis in a living room, the detection probability of smear-positive patients were compared, the differences were statistically Significant （ P〈0.05 ） . Conclusion： In the investigation of close contacts of smear positive tuberculosis, we can find that the method effectively controlling the tuberculosis is to identify patients with active pulmonary tuberculosis.