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某监狱服刑人员结核病流行情况及预防性服药效果分析
引用本文:任世刚,;袁祥虎,;李泽洋,;杜冬梅,;吴永会. 某监狱服刑人员结核病流行情况及预防性服药效果分析[J]. 中国公共卫生管理, 2014, 0(5): 619-620
作者姓名:任世刚,  袁祥虎,  李泽洋,  杜冬梅,  吴永会
作者单位:[1]哈尔滨医科大学公共卫生学院,150081; [2]黑龙江省东风监狱医院,哈尔滨150056; [3]哈尔滨市道外区结核病防治所,哈尔滨,150050
基金项目:黑龙江省卫生厅资助课题(2012-822)
摘    要:目的了解结核病在哈市监狱内发病情况,探讨结核病服药效果,控制监狱内结核病流行状况。方法对新投入的监狱服刑人员进行胸部透视检查,选择胸透正常而PPD实验强阳性人群为实验人群,随机将其分为预防性服药组(280人)和非预防性服药组(289人),同时选择胸透正常而PPD实验结果阴性为对照组(290人)。其中预防性服药组人群,在知情同意的基础上进行预防性服药。观察6个月后,对实验人群进行胸透和痰检实验,确定结核病的发病率。结果预防性服药组、非预防性服药组与正常对照组人群中结核病的发病率分别为:0.36%、3.46%和2.76%。结论预防性服药对降低肺结核病的发病率有一定的作用。

关 键 词:服刑人员  结核病  流行情况  预防性服药

Analysis of tuberculosis epidemic situation among prison inmates and effect of preventive medication
Affiliation:REN Shi-gang, YUAN Xiang-hu, LI Ze-yang, el al( 1.Public Health school of Harbin Medical University, Harbin 150081, China; 2.Hospital of Heilongjiang Dongfeng Prison, Harbin 150056, China; 3.Tuberculosis Dispensary of Daowai District, Harbin,150050)
Abstract:Objective To study the epidemiology of tuberculosis in prison, and to explore the effect of preventive administration to tuberculosis. Methods The new criminal suspects were checked by the chest X-ray. There were 569 people who had the normal results of the X-ray check and the PPD tests results were negative. These people were grouped by the preventive administration group (N=280) and non-administration group (N=289). There were 290 people who had the positive results both the X-ray and PPD tests as the control group. The people who were in preventive administration group were give the medicine to prevent the tuberculosis. All the people were do the X-ray check and the PPD tests after six months. Results The tuberculosis percentage of preventive administration group, the non-administration group and the control group were 0.36%, 3.46% and 2.76% respectively. Conclusion It is effective to decrease the tuberculosis morbidity rate in preventive medicine.
Keywords:prisoner  tuberculosis  epidemic situation  preventive medication
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