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目的了解2005—2015年天津市学校肺结核疫情流行特征,为制定相应防控对策提供依据。方法收集结核病管理信息系统中天津市2005—2015年登记的学校肺结核患者,用SPSS 16.0对数据进行统计学分析。结果 2005—2015年天津市共报告学校肺结核患者3 340例,占全人口报告肺结核患者的8.92%(3 340/37 447);涂阳肺结核患者865例,占所有报告肺结核患者的2.31%。学校肺结核发病主要集中在第二季度(32.49%),其次为第四季度(26.74%);学生肺结核患者中男、女性别比为1.46∶1;发病人群以大学及以上学生肺结核所占比例最高,占学生肺结核患者总数的61.29%(50.49%~77.42%)。学校肺结核患者中就诊延误患者1 420例,就诊延误率为42.51%。男性、涂阴患者及就读于高校的患者更容易出现就诊延误情况(χ~2值分别为8.21,202.63,9.08,P值均<0.05)。结论天津市2005—2015年学校肺结核登记人数呈下降趋势,但是学校肺结核占全人口肺结核的比例仍高于全国平均水平。
Objective To understand the epidemiological characteristics of tuberculosis in schools in Tianjin from 2005 to 2015 and provide evidence for the development of appropriate prevention and control measures. Methods Collecting tuberculosis management information system in Tianjin from 2005 to 2015 registered in patients with pulmonary tuberculosis, using SPSS 16.0 for statistical analysis. Results A total of 3340 cases of TB patients were reported in Tianjin from 2005 to 2015, accounting for 8.92% (3 340/37 447) of total population reported TB patients; 865 smear positive pulmonary tuberculosis patients, accounting for 2.31% of all reported TB cases. The incidence of tuberculosis in schools mainly concentrated in the second quarter (32.49%), followed by the fourth quarter (26.74%); the male and female ratio in students with tuberculosis was 1.46:1; the proportion of pulmonary tuberculosis Accounting for 61.29% (50.49% -77.42%) of the total number of students with pulmonary tuberculosis. There were 1 420 cases of delayed treatment in school TB patients, and the delay rate of visit was 42.51%. Men, smear-negative patients and college students were more prone to delay treatment (χ ~ 2 values were 8.21,202.63,9.08, P values were <0.05). Conclusions The number of TB registrations in schools in Tianjin dropped from 2005 to 2015, but the proportion of school TB cases in TB population was still above the national average.