论文部分内容阅读
目的了解湖北省某男子监狱中在押人员的肺结核患病情况,为制定在押人群结核病的有效防控措施提供参考依据。方法随机整群抽取湖北省某监狱中的1 146名在押人员进行胸部X线摄片检查,对有异常阴影者进一步开展痰涂片和痰培养。所有数据经双人采用Excel 2003软件录入,通过SPSS 20.0软件进行统计分析。结果该男子监狱的活动性肺结核患病率为1 588.70/10万,显著高于同年全国结核病流行病学调查中的男性水平(P<0.01),略高于湖北省男性的平均水平;其中,新发现患者占55.56%,复治患者占33.33%。此外,涂阳肺结核患病率为88.26/10万,培阳肺结核患病率为441.31/10万。结论男子监狱内的肺结核疫情亟待重视,应整合社会医疗资源,对在押人员进行定期肺结核筛查,并保障系统规范地给予治疗。
Objective To understand the prevalence of tuberculosis among detainees in a male prison in Hubei Province, and to provide a reference for the effective prevention and control measures of tuberculosis among detainees. Methods A total of 1 146 detainees detained in a prison in Hubei Province were randomly selected for chest X-ray examination and sputum smear and sputum culture for those with abnormal shadow. All the data were entered by Excel 2003 software and analyzed by SPSS 20.0 software. Results The prevalence of active tuberculosis in this male prison was 1 588.70 / 100 000, which was significantly higher than that of men in the epidemiological survey of tuberculosis in the same year (P <0.01), slightly higher than that of men in Hubei Province. Among them, Newly found patients accounted for 55.56%, retreatment patients accounted for 33.33%. In addition, the prevalence of smear-positive pulmonary tuberculosis was 88.26 / 100 000, and the prevalence of Pulmonary TB was 441.31 / 100 000. Conclusion The epidemic situation of tuberculosis in men’s prisons needs urgent attention. Social medical resources should be integrated to screen regular detainees for tuberculosis and to ensure systematic treatment.