摘要
目的分析2015—2019年福州市学生肺结核发病流行特征和治疗转归情况,为完善福州市学校结核综合防治策略提供依据。方法收集福州市2015—2019年结核病管理信息系统学生肺结核患者资料,查阅《福州市统计年鉴》,用SPSS 17.0统计软件对资料进行分析。结果2015—2019年福州市共发现学生肺结核患者575例,各年登记发病数分别为63、105、128、157和122例,各年肺结核登记发病率分别为3.92/10万、6.46/10万、7.77/10万、9.36/10万和7.28/10万,年均登记发病率为6.98/10万,2015—2019年学生活动性肺结核登记发病率比较,差异有统计学意义(P<0.01)。按各县(市)区学生肺结核登记发病数比较,闽侯115例(占20.0%)、仓山106例(占18.4%)、鼓楼60例(占10.4%)和福清59例(占10.3%)登记数为多。学生肺结核患者男女性别比例为1.28∶1,大中专学生的比例最大,每年占当年学生病例的50%以上,差异有统计学意义(P<0.05)。学生肺结核患者复治比例低于非学生肺结核患者,差异有统计学意义(P<0.01);初治、复治学生肺结核患者的成功治疗率均高于非学生肺结核患者,差异有统计学意义(P<0.05)。结论福州市学生肺结核登记发病率逐年上升,大中专学生的比例最大,学生仍是结核病防治的重点人群,要加强主动监测,及时做好患者的密切接触者筛查工作。
Objective students in Fuzhou City from 2015 to 2019,so as to provide scientific evidence for improving the prevention and control strategy of school tuberculosis.Methods Management System,and Statistical Yearbook of Fuzhou City from 2015 to 2019 were collected and analyzed by SPSS 17.0 statistical software.ResultsFrom 2015 to 2019,575 cases of tuberculosis among students were found in Fuzhou.The cases registered in each year were 63,105,128,157 and 122,respectively.The annual registered incidence rate was 6.98/100000.The registered incidence rate of active tuberculosis were 3.92/105,6.46/105,7.77/105,9.36/105 and 7.28/105,among 2015-2019 years was statistically different(P<0.01).The number of registered tuberculosis among students was the highest in Minhou(115 cases,20.0%),Cangshan(106,18.4%)Gulou(60,10.4%),and Fuqing(59,10.3%).Among students patients,the male/female ratio was 1.28∶1,the proportion of university and college school students was the largest,accounting for more than50%of the students′cases every year(P<0.05).The re-treatment rate of students was lower than that of non students(P<0.01).The successful treatment rate of primary and retreated students was higher than that of non students(P<0.05).ConclusionThe registered incidence rate of tuberculosis among students in Fuzhou increased year by year.The proportion of students in universities and colleges is the largest.Students are still the key population of tuberculosis prevention and control.We should strengthen the active monitoring and timely screen the close contacts of patients.
作者
李佳
黄玲
羊晶晶
LI Jia;HUANG Ling;YANG Jing-jing(Fuzhou Center for Disease Control and Prevention,Fuzhou,Fujian 350004,China)
出处
《中国热带医学》
CAS
2021年第7期690-693,共4页
China Tropical Medicine
关键词
肺结核
学生
监测
治疗转归
Pulmonary tuberculosis
student
surveillance
treatment outcome
作者简介
李佳(1984-),女,硕士,副主任医师,研究方向:结核病防治。
