本文選題：學(xué)生 + 結(jié)核菌素試驗(yàn)��； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年20期

【摘要】：目的對(duì)在校學(xué)生進(jìn)行結(jié)核菌素試驗(yàn)(PPD)篩查,了解PPD試驗(yàn)結(jié)果的分布特點(diǎn),為學(xué)校結(jié)核病防治工作提供依據(jù)。方法按照地理(工業(yè)區(qū)密集程度)分布,隨機(jī)抽取石河子市11所學(xué)校作為調(diào)查現(xiàn)場,對(duì)抽到班級(jí)學(xué)生進(jìn)行PPD試驗(yàn)篩查,對(duì)PPD試驗(yàn)強(qiáng)陽性以及出現(xiàn)可疑結(jié)核病癥狀的學(xué)生進(jìn)行胸部X線和痰涂片檢查。結(jié)果共計(jì)篩查1 695名學(xué)生,詢問調(diào)查對(duì)象家中無結(jié)核病人后進(jìn)行篩查,PPD試驗(yàn)陽性率26.19%(444人),強(qiáng)陽性率5.13%(87人),2015年P(guān)PD試驗(yàn)陽性率20.94%低于2016年(199人,37.90%);男性陽性率23.55%,低于女性29.04%,差異有統(tǒng)計(jì)學(xué)意義(P=0.01),北部學(xué)校學(xué)生PPD試驗(yàn)強(qiáng)陽性率(6.71%)明顯高于南部(3.60%,P0.01);不同學(xué)齡段的PPD試驗(yàn)陽性率不同(χ2=41.48,P0.001);本次篩查并未檢出活動(dòng)性肺結(jié)核病例。結(jié)論對(duì)學(xué)校在校生進(jìn)行PPD試驗(yàn)篩查是結(jié)核病"三早"預(yù)防的有效途徑,石河子北部工業(yè)區(qū)、維吾爾族、學(xué)齡段較高的學(xué)生應(yīng)作為今后結(jié)核病篩查的重點(diǎn)人群,應(yīng)在積極采取措施的同時(shí)加強(qiáng)相關(guān)健康教育,防患于未然。
[Abstract]:Objective to investigate the distribution characteristics of PPD test and to provide evidence for TB prevention and control in schools. Methods 11 schools in Shihezi City were randomly selected according to their geographical (industrial area density) distribution, and the students were screened by PPD test. Chest X-rays and sputum smears were performed on students with strong positive PPD test and suspected tuberculosis symptoms. Results A total of 1,695 students were screened, The positive rate of PPD test in 2015 was 20.94% lower than that in 2016 (37.90%), and the positive rate of male was 23.55%, lower than that of female 29.04%, the difference was statistically significant (P 0.01). The strong positive rate of PPD test (6.71%) was significantly higher than that of 3.60m (P0.01) in the southern part of the school, and the positive rate of PPD test was different among different school age groups (蠂 ~ 2 / 41.48 / P 0.001). There were no active pulmonary tuberculosis cases detected in this screening. Conclusion PPD screening is an effective way to prevent tuberculosis in the three mornings. Students with high school age and Uygur nationality in Shihezi northern industrial area should be regarded as the key population for TB screening in the future. Measures should be taken to strengthen the relevant health education.
【作者單位】： 石河子市疾病預(yù)防控制中心結(jié)核病防治科;
【基金】：八師石河子市科技計(jì)劃項(xiàng)目(2016HZ30)
【分類號(hào)】：R52
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本文編號(hào)：1847205