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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (9): 994-997.doi: 10.3969/j.issn.1000-6621.2020.09.021

• 短篇论著 • 上一篇    下一篇

2010—2019年青岛市学生肺结核流行病学特征分析

孙海燕*, 李烁, 王忠东, 任志盛, 宋颂, 薛白, 张华强, 代晓琦()   

  1. 266033 青岛市疾病预防控制中心 青岛市预防医学研究院结核病防制科(孙海燕、王忠东、任志盛、宋颂、薛白、张华强、代晓琦);青岛大学附属医院胸外科(李烁)
  • 收稿日期:2020-06-08 出版日期:2020-09-10 发布日期:2020-09-18
  • 通信作者: 代晓琦 E-mail:daixiaoqi28@163.com
  • 基金资助:
    山东预防医学会智飞疾病预防控制技术研究基金(LYH2017-11)

Characteristics of the tuberculosis epidemic in schools in Qingdao in 2010—2019

SUN Hai-yan*, LI Shuo, WANG Zhong-dong, REN Zhi-sheng, SONG Song, XUE Bai, ZHANG Hua-qiang, DAI Xiao-qi()   

  1. *Division of Tuberculosis Control and Prevention, Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
  • Received:2020-06-08 Online:2020-09-10 Published:2020-09-18
  • Contact: DAI Xiao-qi E-mail:daixiaoqi28@163.com

摘要:

作者通过《中国疾病预防控制信息系统》的子系统《结核病信息管理系统》,收集2010—2019年青岛市登记职业为“学生”的患者资料、肺结核登记例数(不包括结核性胸膜炎),以及收集《青岛统计年鉴》学生人口数资料,分析学生肺结核登记情况及流行病学特征。结果显示,2019年学生肺结核登记发病率为11.91/10万(175/1468777),较2010年(16.53/10万,212/1282589)降低27.95%,呈下降趋势,差异有统计学意义(Z趋势=-6.567,P<0.001);2010—2019年每年3、4月份为登记发病例数的高峰,在全年中占比为24.42%(443/1814);19~<22岁患者(大学阶段)在报告患者总例数中的占比最高(43.16%,783/1814);被动方式发现1650例,占90.96%(1650/1814);2010—2019年学生患者就诊延迟占比为62.24%(1129/1814)。研究认为,青岛市学生肺结核登记发病率整体处于较低水平,但仍需要继续重视学生肺结核的防控工作,并加强开展健康教育,提高学生的防病意识。

关键词: 结核,肺, 学生, 流行病学研究, 数据说明,统计, 小地区分析

Abstract:

The data of patients registered as “students”, the number of registered cases of tuberculosis (excluding tuberculous pleurisy) in 2010—2019 from Tuberculosis Management Information System (TBIMS) and the population data of Qingdao Statistical Yearbook were collected to analyze the registration status and epidemiological characteristics of tuberculosis among students. In 2019, the registration rate was 11.91/100000 (175/1468777), decreased by 27.95% in comparison with that in 2010 (16.53/100000, 212/1282589). The overall trend was downward and the difference was statistically significant (Ztrend=-6.567, P<0.001). Annually, March and April were the peak periods for student’s registered cases (24.42%, 443/1814). In the constituent ratio for all age groups in the reported cases in students from 2010 to 2019, the highest proportion was at college and junior college stage (19- <22 age groups) with an average of 43.16% (783/1814). One thousand six hundred and fifty cases (90.96%, 1650/1814) were detected by passive methods. The patient delay rate of patients was 62.24% (1129/1814). The registration rate of tuberculosis among students in Qingdao was at a low level. It is still necessary to continue to pay attention to the prevention and control of tuberculosis among students, strengthen health education, and improve the awareness of disease prevention among students.

Key words: Tuberculosis,pulmonary, Students, Epidemiologic studies, Data interpretation,statistical, Small-area analysis