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结核与肺部疾病杂志 ›› 2022, Vol. 3 ›› Issue (2): 148-152.doi: 10.19983/j.issn.2096-8493.20210114

• 论著 • 上一篇    下一篇

2020年新疆生产建设兵团第三师中小学结核分枝杆菌感染筛查情况分析

王坤鹏1, 何晶晶1, 赵永年2, 叶志萍1, 姜媛媛1, 赵立志1, 杨红春1, 张春菊1, 周孝勇1, 王世一3, 王远志3(), 汉锋4, 欧喜超4   

  1. 1第三师疾病预防控制中心,图木舒克 843900
    2新疆建设兵团疾病预防控制中心,乌鲁木齐 830000
    3石河子大学,石河子 832000
    4中国疾病预防控制中心驻南疆工作站,喀什 844000
  • 收稿日期:2021-09-06 出版日期:2022-06-30 发布日期:2022-04-18
  • 通信作者: 王远志 E-mail:332597644@qq.com
  • 基金资助:
    第三师科技成果转化项目(CG2021ZH03)

Analysis of tuberculosis infection screening in primary and secondary schools of the third division of Xinjiang Production and Construction Corps in 2020

WANG Kun-peng1, HE Jing-jing1, ZHAO Yong-nian2, YE Zhi-ping1, JIANG Yuan-yuan1, ZHAO Li-zhi1, YANG Hong-chun1, ZHANG Chun-ju1, ZHOU Xiao-yong1, WANG Shi-yi3, WANG Yuan-zhi3(), HAN Feng4, OU Xi-chao4   

  1. 1The Third Division Center for Disease Control and Prevention, Tumxuk 843900, China
    2Xinjiang Production and Construction Corps Center for Disease Control and Prevention, Urumqi, 830000
    3Shihezi University, Shihezi, 832000
    4China Center for Disease Control and Prevention Workstations in Southern Xinjiang, Kashgar 844000, China
  • Received:2021-09-06 Online:2022-06-30 Published:2022-04-18
  • Contact: WANG Yuan-zhi E-mail:332597644@qq.com
  • Supported by:
    Science and Technology Achievements Transformation Project of the Third Division(CG2021ZH03)

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摘要：

目的 分析新疆生产建设兵团第三师中小学所有在校师生学校结核病感染及患病情况。方法: 按照《关于开展在校学生结核病筛查工作的通知》的要求,第三师疾病预防控制中心于2020年3—5月对辖区内34066名在校中小学师生开展结核感染筛查[包括肺结核可疑症状、结核菌素皮肤试验(TST)、痰涂片、胸部X线摄片(简称“胸片”)检查]。结果: TST阳性反应者2068名,阳性率为6.07%;强阳性反应者302名,强阳性率为0.89%。且随着学生年级的增长,TST阳性率和强阳性率均增加[分别由小学组的5.23%(1174/22463)和0.38%(85/22463)升高到高中组的10.34%(206/1993)和3.36%(67/1993)],差异均有统计学意义(χ2值分别为91.92、245.01,P值均<0.001);教职工的阳性率和强阳性率[分别为13.70%(158/1153)和3.04%(35/1153)]明显高于学生[分别为5.80%(1910/32913)和0.81%(267/32913)],差异均有统计学意义(χ2值分别为121.93、62.73,P值均<0.001);但维吾尔族师生的强阳性率[0.74%(162/21878)]明显低于汉族师生[1.15%(140/12188)],差异有统计学意义(χ2=14.84,P=0.001)。对强阳性的302名师生行痰涂片及胸片检查,5例胸片异常的学生确诊为活动性肺结核患者,18例密切接触的TST强阳性师生进行了预防性服药。结论: PPD强阳性率随学生年级的增长而升高,应定期对高年级学生开展TST筛查,对及时掌握结核病新近感染及防止学校聚集性结核病疫情的发生有重要作用。

关键词: 结核, 肺, 结核菌素试验, 学生, 新疆[维吾尔自治区]

Abstract: Objective: To analyze the tuberculosis infection and prevalence among all teachers and students of primary and secondary schools in the third divisions of Xinjiang Production and Construction Corps.Methods: According to the requirements of notice on carrying out tuberculosis screening on school students, the Center for Disease Control and Prevention of the third division carried out tuberculosis infection screening in its jurisdiction, for 34066 teachers and students of primary and secondary school from March to May 2020, including suspected symptoms of pulmonary tuberculosis, tuberculin skin test (TST), sputum smear and chest X-ray examination.Results: Of all the subjects, 2068 were positive, the positive rate was 6.07%, and 302 were strong positive,the rate was 0.89%. With the increase of students’ grade,the positive rate and strong positive rate increased from 5.23% (1174/22463) and 0.38% (85/22463) in primary school group to 10.34% (206/1993) and 3.36% (67/1993) in high school group, respectively, the differences were significant (χ2=91.92 and 245.01, respectively, both P<0.001). The positive rate and strong positive rate of faculty were significantly higher than those of students (13.70% (158/1153) vs. 5.80% (1910/32913),χ2=121.93, P<0.001; and 3.04% (35/1153) vs. 0.81% (267/32913),χ2=62.73, P<0.001, respectively). The strong positive rate of Uighur teachers and students was significantly lower than that of Han teachers and students (0.74% (162/21878) vs. 1.15% (140/12188),χ2=14.84,P=0.001). Sputum smear and chest X-ray examination were performed on 302 teachers and students who were strong positive. Five students with abnormal chest X-ray were diagnosed as active pulmonary tuberculosis patients, 18 teachers and students with strong positive in close contact took preventive medicine.Conclusion: The strong positive rate of TST increased with the increase of students’ grade. TST screening should be carried out regularly for senior students, which played an important role in mastering the recent infection of tuberculosis and preventing the occurrence of school aggregated tuberculosis.

Key words: Tuberculosis, pulmonary, Mantoux test, Students, Xinjiang Uygur Autonomous Ragion

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