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目的调查掌握全市学校结核病感染与患病基线,探索学校结核病防治管理有效模式。方法有计划地对全市各级各类学校师生进行结核菌素纯蛋白衍化物(PPD)试验,对反应呈强阳性(PPD3+、4+)者,均做痰涂片镜检及拍摄X线胸片。结果全市学校师生结核菌总感染率为32.7%,其中幼儿园最低为8.0%,大中专院校最高为56.4%。发现肺结核39例,患病率为38.1/10万,其中以大中专院校为高发,学生患病率达128.5/10万。对结核病和可疑结核病人均按预定方案,落实了治疗及预防性治疗措施。结论采用PPD试验筛选法,不但获得了全市各类学校结核菌感染率,而且提高了可疑肺结核和结核病人的检出率,通过采取积极的治疗和预防性治疗措施,探索建立了有效的“行政-意识-行为-药物”四大干预措施,为有效控制学校结核病,建立和谐校园提供了基础保障。
Objective To investigate and grasp the baseline of TB infection and prevalence in schools in the city and to explore effective modes of TB prevention and control in schools. Methods The test of tuberculin pure protein derivative (PPD) was conducted systematically on all kinds of school teachers and students in the city at all levels, and the patients with strong positive reaction (PPD3 +, 4 +) underwent sputum smear microscopy and X-ray filming Chest radiograph Results The total prevalence of TB and TB among teachers and students in schools in the city was 32.7%, with the lowest in kindergartens being 8.0% and the highest in colleges and universities being 56.4%. 39 cases of tuberculosis were found, the prevalence rate was 38.1 / 100000, of which colleges and universities as a high incidence of student prevalence rate of 128.5 / 100,000. For tuberculosis and suspicious TB patients are scheduled to implement the treatment and preventive treatment. Conclusion The method of PPD test screening not only obtains the TB infection rate of all kinds of schools in the city, but also increases the detection rate of suspicious pulmonary tuberculosis and tuberculosis patients. By adopting active treatment and prophylactic treatment measures, Administration - Awareness - Behavior - Drugs "four interventions for the effective control of tuberculosis in schools, to establish a harmonious campus provides the basis for protection.