摘要
目的通过在校学生结核病筛查结果分析,为第八师石河子市学校结核病防控工作提供参考依据。方法按照地理(工业区密集程度)分布,随机抽取第八师石河子市10所学校作为调查现场,对抽到班级学生进行PPD试验筛查,对PPD试验强阳性以及出现可疑结核病症状的学生进行胸部X线和痰涂片检查。结果共计筛查2 626名学生,询问调查对象家中无结核病人后进行筛查,PPD试验阳性率23.34%(613人),强阳性率2.09%(55人)。2016年PPD试验阳性率(29.68%)高于2017年(20.56%),农村学生PPD试验阳性率(19.95%)明显低于城镇(24.71%),维吾尔族单生PPD试验阳性率(34.70%)高于汉族(25.25%),不同学龄段的PPD试验阳性率不同差异均有统计学意义(均P<0.01);本次筛查并未检出活动性肺结核病例。结论学校结核病的主动筛查是发现学校结核病疫情的主要手段,对学校在校学生进行PPD试验筛查是结核病"三早"预防的有效途径,第八师石河子市城镇工业区、少数民族、学龄段较高的学生应作为今后结核病筛查的重点人群,应在积极采取措施的同时加强相关健康教育,防患于未然。同时,应加强结核病高疫情地区的学校,特别是大学生的结核病筛查力度。
[Objective]Through the analysis on the results of tuberculosis screening among students,to provide the reference for the prevention and control of tuberculosis in school of Shihezi City.[Methods]According to geography distribution（industrial area density）,10 schools of Shihezi City were selected as research field.PPD was conducted in the students of selected classes,and the students with strong positive results or suspicious symptoms were checked with Chest X-ray and sputum smear examination.[Results]A total of 2 626 students were screened.The screening was conducted among students whose family had no tuberculosis patients.The positive rate of PPD was 23.34%（613 cases）and the strong positive rate was 2.09%（55 cases）.The positive rate of PPD in 2016（29.68%）was higher than that in 2017（20.56%）.The positive rate of PPD in rural students（19.95%）was significantly lower than that in urban students（24.71%）.The positive rate of PPD in Uygur Students（34.70%）was higher than that in Han students（25.25%）.The positive rates of PPD in different study section were different.The differences were statistically significant（all P〈0.01）.No active tuberculosis case was founded in this screening.[Conclusion]The active screening is the major approach of finding school tuberculosis,and the PPD test screening for school students is an effective way to the "three early" tuberculosis prevention.The tuberculosis screening of Shihezi City should focus on urban industrial area,ethnic minority and senior students.The relevant health education should be strengthened while taking active measures.At the same time,it is necessary to strengthen the screening in high epidemic areas,especially the college students.
作者
刘成刚
谢恬
段新福
刘欢
黄爱莲
汪华
LIU Cheng-gang;XIE Tian;DUAN Xin-fu;LIU Huan;HUANG Ai-lian;WANG Hua(Tuberculosis Control Section,Shihezi Center for Disease Control and Prevention of Eighth Division,Shihezi Xinjiang, 832000,Chin)
出处
《职业与健康》
CAS
2018年第5期686-688,共3页
Occupation and Health
基金
八师石河子市科技计划项目(2016HZ30)
关键词
学生
结核菌素试验
筛查
Students
Tuberculin test
Screening
