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目的了解武汉市新洲区普通高三学生肺结核患病状况及结核病防治知识掌握现况,为制订学校结核病防治措施提供科学依据。方法对武汉市新洲区10917名高三学生进行胸部透视,胸透异影者拍摄数码胸片,对疑诊为肺结核的患者进行PPD试验和痰涂片检查,确诊病例进行结核病防治知识问卷调查。结果共发现活动性肺结核患者36例,活动性肺结核患病率为329.76/10万,涂阳患病率为54.96/10万;有结核病症状者占75.00%,94.44%的患者为Ⅲ型肺结核;PPD试验阳性率为97.22%,强阳性率为44.44%;现患病例发现率为27.78%,综合医院转诊率为66.67%,结控项目登记率仅为19.44%;患病学生对结核病防治知识正确知晓率为76.23%。结论该地区高三学生活动性肺结核患病率较高,患病学生具有一定结核病防治知识水平。加强学校结核病健康教育与防治是结核病控制工作的重要内容。
Objective To understand the prevalence of tuberculosis and the control knowledge of tuberculosis in the senior middle school students in Xinzhou District, Wuhan City, and to provide a scientific basis for formulating the prevention and treatment measures for tuberculosis in schools. Methods A total of 10,917 high school students in Xinzhou District of Wuhan City were examined by chest X-ray and digital chest radiograph. The patients with suspected pulmonary tuberculosis were examined by PPD and sputum smear. The confirmed cases were investigated by questionnaire about TB prevention and treatment. Results A total of 36 cases of active pulmonary tuberculosis were found, the prevalence of active tuberculosis was 329.76 / 100 000, the prevalence of smear-positive was 54.96 / 100 000; those with tuberculosis accounted for 75.00% and 94.44% were type III tuberculosis; The positive rate of PPD test was 97.22%, the strong positive rate was 44.44%; the prevalence rate of endemic cases was 27.78%, the general hospital referral rate was 66.67%, the registration rate of tuberculosis control project was only 19.44% The correct knowledge rate was 76.23%. Conclusions There is a high prevalence of active tuberculosis among senior high school students in the region, and the sick students have some knowledge of prevention and treatment of tuberculosis. Strengthening TB education and prevention and control in schools is an important part of tuberculosis control.