论文部分内容阅读
目的了解甘肃省学生肺结核登记报告情况及疫情流行特征,为学校肺结核防治工作提供参考。方法收集2008—2013年甘肃省学生肺结核发病及基础资料,采用描述性统计方法分析学生肺结核流行病学特征。结果 2008—2013年甘肃省学生活动性肺结核报告发病率分别为37.55/10万,33.45/10万,28.70/10万,24.25/10万,20.19/10万和14.59/10万,呈逐年下降趋势(P<0.05),年递降率为12.36%;同期报告学生涂阳肺结核登记率呈逐年下降趋势(P<0.05),年递降率为13.46%;学生病例占全人群肺结核病例的比例从2008年的6.32%(1 640/25 953)下降到2013年的3.93%(721/18 360)(P<0.05)。报告学生肺结核病例中15~24岁年龄组最多,占学生总病例数的84.58%(6 254/7 394);学生病例中,男女比例为1.61:1。结论甘肃省学生肺结核报告发病率呈逐年下降趋势,表现为春、秋两季发病最多。男生和15~24岁年龄组应作为学校结核病防控的重点人群。
Objective To understand the report of tuberculosis registration of students in Gansu Province and the characteristics of the outbreak and epidemic situation so as to provide reference for the prevention and control of tuberculosis in schools. Methods The incidence and basic data of pulmonary tuberculosis among students in Gansu Province during 2008-2013 were collected. Descriptive statistics were used to analyze the epidemiological characteristics of students with pulmonary tuberculosis. Results The incidence of active TB in Gansu Province during 2008-2013 was 37.55 / 100000, 33.45 / 100000, 28.70 / 100000, 24.25 / 100000, 20.19 / 100000 and 14.59 / 10000 respectively, showing a declining trend year by year (P <0.05), and the annual decline rate was 12.36%. The registration rate of smear-positive pulmonary tuberculosis was decreased year by year (P <0.05), the annual decline rate was 13.46%; the proportion of student cases to the total population of tuberculosis cases was from 2008 Of 6.32% (1 640/25 953) in 2013 to 3.93% (721/18 360) in 2013 (P <0.05). Reported cases of pulmonary tuberculosis in students aged 15 to 24 age group, accounting for 84.58% (6 254/7 394) of the total number of student cases; student cases, male to female ratio was 1.61: 1. Conclusions The incidence of tuberculosis reported by students in Gansu province is decreasing year by year, showing the most incidence in both spring and autumn. Boys and 15-24 age group should be the focus of school tuberculosis prevention and control crowd.