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目的:分析学生肺结核流行特征,为完善学校肺结核预防控制措施提供依据。方法:收集2010-2012年绍兴县学生肺结核患者流行病学资料,包括年龄、职业、首次出现症状时间、就诊时间、结核病类型等情况,采用描述性流行病学方法进行统计分析。结果:学生位居肺结核职业顺位第三位;不同阶段学生肺结核发病中,高中学生发病数占学生总发病数的55.14%;5-8月份为学生肺结核发病高峰;就诊延误病例占65.42%。结论:学生肺结核防控重点应放在高中阶段,疾控机构要加强对师生肺结核知识的宣传,学校要落实晨检和因病缺课制度,减少诊治延误现象,流动人口和大专及以上学生肺结核跨区域管理有待加强。
Objective: To analyze the epidemic characteristics of students’ pulmonary tuberculosis and provide the basis for improving the prevention and control measures of tuberculosis in schools. Methods: Epidemiological data of patients with pulmonary tuberculosis in Shaoxing County from 2010 to 2012 were collected, including age, occupation, the time of the first symptom onset, the time of treatment and the type of tuberculosis. Descriptive epidemiological methods were used for statistical analysis. Results: The students ranked the third in the occupational order of tuberculosis. Among the students with different stages of tuberculosis incidence, the incidence of high school students accounted for 55.14% of the total number of students. The peak incidence of tuberculosis was seen in students from May to August. The delay of treatment was 65.42%. Conclusion: The focus of prevention and control of tuberculosis should be placed in high school. The CDC should strengthen publicity on knowledge of pulmonary TB among teachers and students. The school should implement the morning check-up and absenteeism due to illness, reduce the delay of diagnosis and treatment. The floating population, college and above students Tuberculosis cross-regional management needs to be strengthened.