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涂阳肺结核密切接触者筛查与随访分析
引用本文:范向阳.涂阳肺结核密切接触者筛查与随访分析[J].现代保健,2014(14):72-74.
作者姓名:范向阳
作者单位:广东省湛江市遂溪县慢性病防治站,广东遂溪524300
摘    要: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。

关 键 词:涂阳肺结核  密切接触者  筛查  随访

Screening and Follow-up Analysis on Close Contacts of Smear Positive Tuberculosis/FAN Xiang-yang.
Institution:Medical Innovation of China, 2014, 11 ( 14 ) : 072-074
Abstract: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.
Keywords:Smear positive pulmonary tuberculosis  Close contacts  Screening  Follow-up
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