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目的分析涂阳肺结核患者密切接触者结核患病情况,为今后的密切接触者筛查工作提供可行性建议。方法 2009-2014年收集全省涂阳肺结核患者密切接触者检查季度报表、患者登记年报表和来源于密切接触者的患者病案信息,采用SPSS11.5软件对资料进行统计分析。结果 2009-2014年,全省共登记涂阳密切接触者275 069例,筛查271 427例,共检出活动性肺结核患者610例,其中涂阳肺结核患者242例;检出率分别为0.49%和0.19%。无症状者肺结核和涂阳肺结核检出率分别为0.01%和0.05%;有症状者肺结核和涂阳肺结核检出率分别为0.38%和0.93%,无症状者和有症状者肺结核和涂阳肺结核检出率均有统计学差异(P<0.05)。来源于密切接触者的患者与同期登记的来源于密切接触者之外的其他活动性肺结核患者之间,其性别、年龄构成和登记分类差异均有统计学意义(P<0.05)。结论应进一步加大涂阳肺结核密切接触者筛查力度,以便早期发现和治疗肺结核患者。
Objective To analyze the prevalence of tuberculosis in close contacts among smear-positive pulmonary tuberculosis patients and to provide feasible suggestions for the screening of close contacts in the future. Methods From 2009 to 2014, we collected quarterly reports of close contacts of smear-positive patients with pulmonary tuberculosis in our province, annual reports of patient registration and medical records of patients who came from close contacts. SPSS11.5 software was used to analyze the data. Results From 2009 to 2014, a total of 275 069 smear-positive contacts were surveyed in the province with 271 427 cases. A total of 610 active pulmonary tuberculosis patients were detected, of which 242 were smear-positive pulmonary tuberculosis patients. The detection rates were 0.49% And 0.19%. Asymptomatic tuberculosis and smear positive tuberculosis were detected in 0.01% and 0.05% respectively. The detection rates of tuberculosis and smear positive tuberculosis were 0.38% and 0.93% respectively in asymptomatic, asymptomatic and symptomatic tuberculosis and smear positive tuberculosis The detection rates were statistically different (P <0.05). There were significant differences in sex, age composition and registration between patients with close contacts and those with active TB registered in the same period but from close contacts (P <0.05). Conclusion We should further increase screening efforts for close contacts of smear-positive pulmonary tuberculosis in order to find and treat tuberculosis patients early.