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目的评估校园结核病防治知识固定宣传栏对学生就诊情况的影响。方法选择安装固定宣传栏的会宁县和未安装的靖远县城区高中学生肺结核病患者和疑似患者进行对比分析,2012年和2014年对会宁县城区正在治疗或治疗结束1个月内的高中学生肺结核病患者(排除城区高中通过筛查和体检发现的患者)进行电话调查,计算出现症状到确诊的时间间隔。结果 2014年会宁县安装固定宣传栏后学生患者就诊率为5.59‰,高于安装前的2.01‰,差异有统计学意义(χ~2=43.700,P<0.05);未安装固定宣传栏的靖远县就诊率为2.91‰,会宁县就诊率较高为5.59‰,差异有统计学意义(χ~2=15.772,P<0.05);2012年会宁县城区高中学生患者从出现症状到确诊时间间隔中位数为103天,2014年中位数为26.5天,两者差异有统计学意义(Z=2.874,P<0.05)。结论校园安装结核病知识固定宣传栏后,学生就诊率明显提高,从出现症状到确诊的时间间隔明显缩短,减少了结核病在校园内的传播。
Objective To assess the impact of TB bulletin boards on student attendance at school. Methods Select and install a fixed bulletin board Huining County and uninstalled Jingyuan County high school students with tuberculosis patients and suspected patients were compared and analyzed in 2012 and 2014 in Huining County is being treated or within 1 month after the end of high school students Patients with tuberculosis (excluding those found in urban high schools through screening and physical examination) were surveyed by telephone to calculate the time between the onset of symptoms and the time of diagnosis. Results The attendance rate of students in Huining County was 5.59 ‰ in 2014, which was higher than 2.01 ‰ before installation (χ ~ 2 = 43.700, P <0.05). There was no fixed publicity fence The visiting rate of far county was 2.91 ‰, and the visiting rate of Huining County was 5.59 ‰, with significant difference (χ ~ 2 = 15.772, P <0.05). In 2012, the high school students in Huining county from symptom to diagnosis time interval The median was 103 days, with a median of 26.5 days in 2014. The difference was statistically significant (Z = 2.874, P <0.05). Conclusion After installing TB knowledge bulletin boards on campus, the attendance rate of students significantly increased. The interval from symptom to diagnosis was significantly shortened, which reduced the spread of tuberculosis on campus.