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中国防痨杂志 ›› 2015, Vol. 37 ›› Issue (1): 24-29.doi: 10.3969/j.issn.1000-6621.2015.01.006

• 论著 • 上一篇    下一篇


李婷 张佩如 夏勇 王丹霞 李运葵 何金戈   

  1. 610041  成都,四川省疾病预防控制中心结核病预防控制所
  • 收稿日期:2014-07-16 出版日期:2015-01-10 发布日期:2015-02-08
  • 通信作者: 何金戈

Retrospective study of epidemic features of registered pulmonary tuberculosis students in school in Sichuan province from 2009 to 2013

LI Ting, ZHANG Pei-ru, XIA Yong, WANG Dan-xia, LI Yun-kui, HE Jin-ge   

  1. Institute of Tuberculosis Control, Sichuan Center for Disease Control and Prevention,Chengdu  610041, China
  • Received:2014-07-16 Online:2015-01-10 Published:2015-02-08
  • Contact: HE Jin-ge

摘要: 目的 了解四川省在校学生结核病疫情,为完善全省学校结核病防控策略和措施实施提供科学依据。方法 以中国结核病管理信息系统、《四川统计年鉴》中的数据为基础,采用Excel 2013和SPSS 19.0软件,对2009—2013年不同年份间登记的学生肺结核患者诊断治疗特征进行分析。2009—2013年四川省在校学生总数分别为12196438、13307748、13123102、12788048和12788048名。对2009—2013年不同年份间登记学生肺结核患者来源、诊断分型、诊断结果和治疗分类等进行χ2趋势检验;对2012年学生登记肺结核患者与全人群患者的性别、民族、诊断分类、初复治构成和初复治涂阳患者治疗转归等进行χ2检验;对2009—2013年不同年份间患者诊断延迟时间的比较和诊断延迟在2012年学生与全人群登记肺结核患者中的比较进行方差分析,以P<0.05为差异具有统计学意义。结果 2009—2013年四川省在校学生肺结核登记率呈持续下降趋势,由2009年的33.5/10万(4085/12196438)降至2013年的20.7/10万(2652/12788048)(χ2=495.675,P<0.05)。2009—2013年,39.1%(6222/15905)的患者集中在川东北地区。登记学生结核病患者的来源中,因症就诊的构成比从2009年的40.6%(1688/4149)下降到了2013年的30.5%(801/2626)(χ2=135.446,P<0.05);转诊、追踪的构成比从2009年的53.4%(2214/4149)上升到了2013年的64.5%(1694/2626)(χ2=135.446,P<0.05)。2012年登记学生患者的涂阳比例(21.9%(629/2876)低于全人群患者涂阳比例(32.2%,19325/60101)(χ2=183.457,P<0.05);而学生患者中结核性胸膜炎比例(3.6%,104/2876)高于全人群(1.7%,1010/60101)(χ2=183.457,P<0.05)。学生涂阳患者中复治比例(4.9%,31/630)明显低于全人群(16.3%,3155/19325)(χ2=59.153,P<0.05)。学生患者就诊延迟时间[(46.37±130.449)d]较全人群[(75.29±317.071)d]短(F=23.810,P<0.05)。结论 四川省学生肺结核疫情呈持续下降趋势,但在川东北地区和民族地区等仍应加强学生结核病控制,并警惕学生中结核性胸膜炎患者的增多。

关键词: 结核, 肺/流行病学, 学生, 登记, 四川省

Abstract: Objective To understand the epidemic features of tuberculosis(TB)in students in Sichuan province and provide evidences for implementing TB control strategies and measures in students.  Methods We used data mining methods to analyze data obtained from Chinese Tuberculosis Information Management System and Sichuan Statistical Yearbook. The total number of students of Sichuan Province from 2009 to 2013 were 12 196 438, 13 307 748, 13 123 102, 12 788 048 and 12 788 048 respectively. Excel 2013 and SPSS 19.0 were used to analyze characteristics of TB students, trend Chi-square test was used to compare the sources of TB cases, diagnosis and therapeutic category of students among different years. Chi-square test was used to compare the characteristics like gender, nationality, diagnosis category, initial treatment and retreatment constitution and treatment outcome between students and the whole population. The delay time was analyzed by variance analysis. The significance level was 0.05.  Results The registered TB in students declined from 33.5/100 000(4085/12 196 438) in 2009 to 20.7/100 000 (2652/12 788 048) in 2013(χ2=495.675, P<0.05). Between 2009 and 2013, 39.1% (6222/15 905) of patients concentrated in northeast of Sichuan. Proportion of student TB patients detected by passive identification had a decline from 40.6%(1688/4149) in 2009 to 30.5%(801/2626) in 2013 (χ2=135.446, P<0.05),while referral tracking constituent ratio rose from 53.4%(2214/4149) in 2009 to 64.5%(1694/2626) in 2013 (χ2=135.446, P<0.05). In 2012, the proportion of smear-positive in student patients (21.9%(629/2876)) was lower than that of the whole population (32.2%(19 325/60 101)) (χ2=183.457, P<0.05), while patients with TB pleurisy in students (3.6%(104/2876)) was higher than that in the whole population (1.7%(1010/60 101)) (χ2=183.457, P<0.05). The proportion of retreatment smear-positive patients in students(4.9%(31/630)) was significantly lower than that of the whole population (16.3%(3155/19 325)) (χ2=59.153, P<0.05). Treatment delay time (46.37±130.449 days) of student patients was shorter than the whole population (75.29±317.071 days) (F=23.810, P<0.05).  Conclusion The students TB has a declining trend, but students TB control need strengthening in certain areas like northeast of Sichuan and minority concentrated areas and TB workers should be on the alert for the increase in student patients with tuberculous pleurisy.

Key words: Tuberculosis, pulmonary/epidemiolog, Students, Registries, Sichuan province