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中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (8): 454-456.

• 论著 • 上一篇    下一篇

四所中学初中生结核菌素反应性调查

王星;李海;柴志英;高永香;庞春萍;陈向东;郝世家;李晓光;于少清;杨丽华;孙斌   

  1. 河北省张家口市肺科医院 怀来 075441
  • 出版日期:2009-08-10 发布日期:2011-11-03

Investigation of the tuberculin reactivity in the junior middle school students of four middle schools

Wang Xing,Li hai,Chai Zhiying,Gao Yongxiang,Pang Chunping,Chen Xiangdong,Hao Shijia,Li Xiaoguang,Yu Shaoqing,Yang Lihua,Sun Bin   

  1. Zhangjiakou Lung Hospital, Huailai 075441, China
  • Online:2009-08-10 Published:2011-11-03

摘要: 目的了解当地初中生结核菌素反应状况。方法选医院驻地怀来县4所中学5153名初一年级学生进行标准化PPD试验调查,并对学生年龄、性别、居住来源及结核病流行特点进行调查分析。结果80.2%的学生集中在13~14岁组,来源于农村者占57.6%,≥5mm总阳性反应率23.1%,≥15mm为7.4%。2219名无卡痕学生PPD反应在≥5mm,≥10mm,≥15mm和≥20mm分别为16.0%、10.9%、5.9%和2.9%,有卡痕学生结素反应性明显高于无卡痕者;有结核接触史和既往史学生的结素反应均高于无结核接触史和既往史者。结论把初中新入学学生作为当地结素试验对象,建议将≥15mm结素反应者列为预防性治疗对象,以减少结核病发生。

关键词: 结核,肺/预防和控制, 结核菌素试验, 学生

Abstract: ObjectiveTo find out tuberculin reactivity of the students from the local junior middle school. Methods5153 students of Grade 1 from 4 middle schools of Huailai were taken the standardized PPD and invested on the age, sex, residence and tuberculosis epidemiological characteristics of these students. Results80.2% students were at the age group 13~14, 57.6% students living in rural areas, total positive rate (≥5mm and ≥15mm) were 23.1% and 7.4% respectively. The positive rate of PPD test (≥5mm、≥10mm、 ≥15mm and≥20mm) in 2219 students without BCG scare were 16.5%、10.9%、5.9% and 2.9% respectively. The positive rate in students with BCG scar was higher than that of students without, and that in students with TB contact history and TB history was higher than that of student without. ConclusionsThe junior high school students should be the target of local tuberculin tests and tuberculin positive reaction≥15mm can be classified as preventive therapy target to prevent TB emergence.

Key words: Tuberculosis,pulmonary/prevention & control, Tuberculin test, Students