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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (5): 337-340.doi: 10.3969/j.issn.1000-6621.2014.05.008

• 论著 • 上一篇    下一篇

2009—2013年广州市普通高考招生体格检查检出结核病情况分析

伍小英 谭守勇 罗少霞 张晋昕 陈其琛 刘国标 梁志强 宋涛 黄冬生 杜雨华 邝浩斌 周惠贤 龚芳 温兴煊 何贤英   

  1. 510095  广州市胸科医院  广州市结核病防治所（伍小英、罗少霞、刘国标、梁志强、宋涛、杜雨华、周惠贤、龚芳），院长办公室（谭守勇），结核病控制科（陈其琛），呼吸与肿瘤病区（黄冬生），结核病区（邝浩斌）；中山大学公共卫生学院医学统计与流行病学系（张晋昕、温兴煊、何贤英）
  • 收稿日期:2013-10-02 出版日期:2014-05-10 发布日期:2014-06-07
  • 通信作者: 伍小英 E-mail:wuxiaoying86@tom.com
  • 基金资助:

    广州市医药卫生科技一般引导项目课题 （20131A011075）；广州市胸科医院科研基金资助项目（XK2013-011）

The analysis of TB case detection in College candidates physical examination of Guangzhou, 2009—2013

WU Xiao-ying,TAN Shou-yong, LUO Shao-xia, ZHANG Jin-xin, CHEN Qi-chen, LIU Guo-biao, LIANG Zhi-qiang, SONG Tao, HUANG Dong-sheng, DU Yu-hua，KUANG Hao-bin,ZHOU Hui-xian, GONG Fang, WEN Xing-xuan, HE Xian-ying   

  1. Guangzhou TB Control Institute,Guangzhou Chest Hospital, Guangzhou 510095, China
  • Received:2013-10-02 Online:2014-05-10 Published:2014-06-07
  • Contact: WU Xiao-ying E-mail:wuxiaoying86@tom.com

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摘要： 目的 了解广州市普通高考招生体格检查结核病检出特征并进行分析。方法 采用回顾性调查研究方法，收集2009—2013年广州市普通高考招生体格检查病案资料和全国结核病信息管理系统的疫情资料，共有316386名考生参加体格检查，采用描述性统计分析方法对检出的238例活动性肺结核患者进行分析，组间比较用χ2检验，P<0.05为差异有统计学意义。 结果  2009—2013年广州市普通高考招生体格检查活动性肺结核患者检出率为75.2/10万，2010年和2011年检出率较高，分别为115.0/10万、102.0/10万，2012年检出率最低，为46.5/10万。其中男性为55.9%（133/238)，女性为44.1%（105/238)。根据学校生源地区检出例数从高至低排列前5位为番禺区54例、越秀区37例、荔湾区29例、增城区25例、天河区22例、白云区22例。5年间检出患者均为初治类型，涂阳肺结核患者占18.1%（43/238)，涂阴肺结核患者占81.9%（195/238)，肺部病灶以1～2个肺野为主，占90.7%（216/238)。 结论  广州市普通高考招生体格检查活动性肺结核检出率较高，应加强广州市在校高中学生，尤其是老城区和流动人口密集区域高中学生的结核病控制工作。

关键词: 结核, 肺/预防和控制, 体格检查, 学生, 广州市

Abstract: Objective  To investigate the characteristics of tuberculosis detected in College candidates physical examination. Methods This is a retrospective study, we collected data from medical records of College candidates and National Tuberculosis Information Management System between 2009 and 2013, a total of 316386 candidates received the physical examination,the descriptive statistical analysis was used to analyze the 238 cases of active tuberculosis detected, χ2 test was used for group comparison, P<0.05 was considered statistically significant. Results  The active tuberculosis detection rate was 75.2/100000 in College candidates between 2009 and 2013,relatively higher in 2010 and 2011, which was 115.0/100000 and 102.0/100000 respectively, lowest in 2012 of 46.5/100000. Among them, males accounted for 55.9% (133/238). In terms of the number of cases detected by original residence, the highest 5 areas were Panyu district of 54 cases, Yuexiu district of 37 cases, Liwan district of 29 cases, Zengcheng district of 25 cases, Tianhe district of 22 cases, Baiyun district of 22 cases. All cases detected were new cases, among which, smear positive pulmonary tuberculosis patients accounted for 18.1% (43/238), smear-negative accounted for 81.9% (195/238). 90.7% (216/238) of them had lesions in 1-2 lung fields. Conclusion The active tuberculosis detection rate is high in College candidates of Guangzhou city, we should strengthen the high school TB control, especially in old town areas and densely populated areas of floating population.

Key words: Tuberculosis, pulmonary/prevention &, control, Physical examination, Students, Guangzhou city

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