结核病与肺部健康杂志 ›› 2018, Vol. 7 ›› Issue (4): 275-278.doi: 10.3969/j.issn.2095-3755.2018.04.010

• 论著 • 上一篇    下一篇

2011—2017年天津市监狱服刑人员肺结核患者发现方式与发病率分析

张志(),王薇,张国钦,魏文亮   

  1. 300041 天津市结核病控制中心门诊部
  • 收稿日期:2018-09-25 出版日期:2018-12-30 发布日期:2019-01-08
  • 通信作者: 张志 E-mail:3598308@qq.com
  • 基金资助:
    天津市卫生行业重点攻关项目(16KG171)

Analysis of tuberculosis case-finding and incidence in prisoners in Tianjin Prison System during 2011 to 2017

Zhi ZHANG(),Wei WANG,Guo-qin ZHANG,Wen-liang WEI   

  1. Outpatient Department of Tianjin Tuberculosis Control and Prevention Center, Tianjin 300041,China
  • Received:2018-09-25 Online:2018-12-30 Published:2019-01-08
  • Contact: Zhi ZHANG E-mail:3598308@qq.com

摘要:

目的 分析天津市监狱系统服刑人员肺结核患者发现情况和变化趋势。方法 收集2011—2017年天津市结核病登记管理系统中1280例监狱服刑人员肺结核患者登记数据,分析肺结核患者发现方式、发病率及其变化趋势。结果 1280例肺结核患者中,通过入监体检、肺结核普查和因症就诊3种发现方式分别确诊366例(28.6%)、540例(42.2%)和374例(29.2%)。入监体检方式发现患者构成比由2011年的15.2%(30/197)上升至2017年的62.5%(135/216),差异有统计学意义(χ 2=157.22,P<0.01);普查方式发现患者构成比由2011年的35.5%(70/197)下降至2017年的26.4%(57/216),差异有统计学意义(χ 2=16.33,P<0.01);因症就诊方式发现患者构成比由2011年的49.3%(97/197)下降至2017年的11.1%(24/216),差异有统计学意义(χ 2=65.12,P<0.01)。天津市监狱服刑人员涂阳肺结核发病率由2011年的44.0/10万(9/20450)下降至2017年的9.8/10万(2/20452),差异有统计学意义(χ 2=6.60,P=0.010)。 结论 采用主动(入监体检、普查)与被动(因症就诊)相结合的发现方式,天津市服刑人员肺结核疫情得到有效控制。其中主动发现方式相比传统被动发现方式对监狱服刑人员肺结核疫情控制具有更重要作用。

关键词: 结核,肺, 监狱, 囚犯, 发病率, 横断面研究, 传染病控制

Abstract:

Objective To analyze tuberculosis (TB) case-finding as well as the trend among prisoners in Tianjin Prison System.Methods The registration data of 1280 prisoners with pulmonary TB in the Tianjin Tuberculosis Registration and Management System from 2011 to 2017 were collected, and changes in the case-finding methods and incidence were analyzed.Results Among the 1280 pulmonary TB patients, patients found by entry screening, annual massive screening and case-finding based on suspect TB symptoms accounted for 28.6% (366 cases), 42.2% (540 cases) and 29.2% (374 cases), respectively. Regarding the case-finding methods, percent by entry screening increased from 15.2% (30/197) in 2011 to 62.5% (135/216) in 2017, and the difference was statistically significant (χ 2=157.22, P<0.01); percent by massive screening decreased from 35.5% (70/197) in 2011 to 26.4% (57/216) in 2017, and the difference was statistically significant (χ 2=16.33, P<0.01); percent by case-finding based on suspect TB symptoms decreased from 49.3% (97/197) in 2011 to 11.1% (24/216) in 2017, and the difference was statistically significant (χ 2=65.12, P<0.01). The incidence of smear positive pulmonary TB patients among prisoners in Tianjin Prison System declined from 44.0/100000 (9/20450) in 2011 to 9.8/100000 in 2017 (2/20452), and the difference was statistically significant (χ 2=6.60, P=0.010). Conclusion Relying on active (entry screening and massive screening) and passive (based on suspect TB symptoms) case finding, TB prevalence among prisoners in Tianjin was effectively controlled. Compared to conventional passive case finding, active case finding played a more important role in TB control among prisoners.

Key words: Tuberculosis, pulmonary, Prisons, Prisoners, Incidence, Cross-sectional studies, Communicable disease control