1993—2002年广州市学生肺结核防治情况分析

目的　反映广州市学生肺结核病患病特征和防治状况。方法 将1993—2002年广州市结核病专业机构登记的学生肺结核患者,经登记、报告、每年核对及输入电脑统计分析所得。结果 10年间新登记学生肺结核患者1764例,大、中、小学生患者数分别为:777、831和156例。发现方式以因症就诊和健康检查为主,他们多有可疑症状,其中以咳嗽最为常见。多为初治病例(1694例,96.0%),大、中学生多为继发性肺结核(91.2%),而小学生则以原发结核居多(46.8%)。对病例的治疗管理方式有全程督导、住院治疗、全程管理、自服药与强化期督导,其比率分别为38.9%、33.3%、15.6%11.6%0.5%,总治愈率为93.5%。结论 针对大、中、小学生不同群体的特点采取相应的结核病健康促进教育策略,并依据其不同的患病特征采取适当的管治措施。

Analysis on registration and management of student cases with tuberculosis in Guangzhou City from 1993 to 2002

Objective To investigate the situation on management and therapy for patients with tuberculosis(TB) among students Guangzhou City. Method TB cases among students registered in Guangzhou Chest Hospital from 1993 to 2002 were collected and analyzed. Results The TB cases among students were 1764, of which students from colleges, middle school and primary school were 777 831 and 156 respectively. The detected manners for the diseases were clinical consultation and healthy examination. Most of them had TB suspicious symptoms such as cough. Majorities of student cases were first treatment (1694,96.0%). The student cases from colleges and middle schools were usually diagnosed as type Ⅲ of the diseases, and those from primitive school were type I of the diseases. The management manners for treating them included DOTS in full course (38.9%), therapy in hospital (15.6%), full-course management (11.6%), self-administrative treatment(0.5%). The overall cure rate was 93.5%. Conclusion It is important that to implement different health promotion strategy for different kind of student patients with TB and provide appropriate therapy managements according to their different diseased features.