石家庄市2011—2020年学校结核病疫情特征分析

李彤欣; 周吉坤; 朱建良; 郭付爱

doi:10.16835/j.cnki.1000-9817.2023.06.023

石家庄市2011—2020年学校结核病疫情特征分析

doi: 10.16835/j.cnki.1000-9817.2023.06.023

河北省石家庄市疾病预防控制中心结核病防治所，050000

详细信息

作者简介:
李彤欣(1994-)，女，河北邢台人，硕士，住院医师，主要从事学校结核病防治方面工作

通讯作者:
郭付爱，E-mail：guofuai994@sohu.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R529.9 R181.3 G478.2
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- 被引次数: 0
出版历程
- 收稿日期: 2022-10-13
- 修回日期: 2023-03-13
- 网络出版日期: 2023-06-28
- 刊出日期: 2023-06-25

Analysis of epidemic characteristics of tuberculosis in schools in Shijiazhuang during 2011-2020

Tuberculosis Prevention and Control Institute, Tuberculosis Prevention and Control Center of Shijiazhuang City, Shijiazhuang(050000), China

摘要

摘要: 目的分析2011—2020年石家庄市学校结核病疫情变化趋势及特征，为提升学校结核病防控工作提供参考。方法从《国家结核病信息管理系统》中导出2011—2020年石家庄市学生肺结核病案，对其流行特征及学校结核病疫情情况进行分析，采用χ²检验和χ²趋势检验分析学校结核病疫情特征及变化趋势。结果石家庄市2011—2020年学生结核病共登记4 896例，学生年登记发病率为24.69/10万，发病率年度差异有统计学意义(χ²=318.50，P < 0.01)，10年来学生结核病登记发病率整体呈上升趋势(χ_趋势²=87.79，P < 0.01)。学生病例中男生占53.89%，女生占46.11%；学生发病年龄以>18岁年龄组所占比例最大(50.35%)，其次为16~18岁年龄组(35.80%)。学生结核病发现多集中于4、9—11月，其中以9月报告病例数最多(12.03%)。聚集性疫情共有22起(174例)，聚集性学生结核病患者占学生结核病患者总数的构成比为3.55%。结论石家庄市学校结核病疫情呈上升趋势，应加强对重点年龄段学生的监督管理与宣传教育工作，避免出现聚集性疫情。
- 结核 /
- 疾病暴发流行 /
- 发病率 /
- 流行病学研究
Abstract: Objective To analyze the trend and characteristics of school tuberculosis epidemic in Shijiazhuang from 2011 to 2020, and to provide reference for school tuberculosis prevention and control. Methods Descriptive methods were used to analyze the epidemiological characteristics of tuberculosis among students and the epidemic situation of tuberculosis in schools in Shijiazhuang from 2011 to 2020. The χ² test and χ² trend test were used to analyze the characteristics and trend of school tuberculosis. Results A total of 4 896 cases of tuberculosis were registered among students in Shijiazhuang from 2011 to 2020. The average annual registered incidence rate of students was 24.69/100 000, and the difference in incidence rate was statistically significant (χ²=318.50, P < 0.01) the overall registered incidence rate of tuberculosis among students in the past 10 years was on the rise (χ_trend²=87.79, P < 0.01). Among the student cases, male accounted for 53.89%, female accounted for 46.11%. The age group of students aged >18 and above accounted for the largest proportion(50.35%), followed by the age group aged 16-18(35.80%). Most students cases occurred in April and September-November, with September the highest(12.03%). A total of 22 clustered outbreaks (174 cases) and the aggregate epidemic accounted for 3.55% of the total number of students with tuberculosis. Conclusion The prevention and control of tuberculosis epidemic in schools in Shijiazhuang should not be underestimated, and strengthen the supervision, management, publicity and education of students in key age groups to avoid clusters of outbreaks.
- Tuber culosis /
- Disease outbreaks /
- Incidence /
- Epidemiologic studies
注释:

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表 1 石家庄市2011—2020年学校肺结核患者基本情况

Table 1. Basic situation of school tuberculosis patients in Shijiazhuang from 2011 to 2020

年份	常住人口		人数/10万		学生病例比例/%
年份	人数/10万	病例数	人数/10万	病例数	学生病例比例/%
2011	102.80	5 865(57.05)	18.33	399(21.77)	6.80
2012	103.86	5 280(50.84)	17.81	373(20.94)	7.06
2013	105.00	4 633(44.12)	17.03	318(18.67)	6.86
2014	106.16	4 477(42.17)	17.31	393(22.70)	8.78
2015	107.02	4 565(42.66)	18.27	352(19.27)	7.71
2016	107.85	4 538(42.08)	19.29	362(18.77)	7.98
2017	108.80	4 683(43.04)	20.25	571(28.20)	12.19
2018	109.52	4 294(39.21)	22.60	870(38.50)	20.26
2019	103.94	3 834(36.89)	23.31	718(30.80)	18.73
2020	106.41	3 195(30.03)	24.12	540(22.39)	16.90
合计	1 061.34	45 364(42.74)	198.32	4 896(24.69)	10.79
注：()内数字为发病率/10^-5。

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