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目的通过分析2011—2015年南宁市部分高校学生肺结核流行特征,为学校结核病的防治工作提供理论依据。方法利用结核病管理信息系统获取南宁市部分高校学生结核病报告信息,并进行流行病学描述性分析。结果 2011—2015年,南宁市高校学生累计报告结核病564例,年均报告发病率37.57/10万。各年份报告发病率分别为43.05/10万、38.04/10万、34.65/10万、35.52/10万、37.47/10万,总体差异无统计学意义(P=0.53);学生结核病发病无明显季节性;2011—2015年南宁市高校学生结核病报告病例中,男性报告发病率为34.53/10万(337/975 891),女性报告发病率为43.20/10万(227/525 479)。女性报告发病率高于男性,差异有统计学意义(P=0.009)。20~22岁年龄组学生标化报告发病率为69.94/10万,为各年龄组中最高;医学生与非医学生发病率差异无统计学意义(P=0.571);在校生人数在2万以上的学校总报告发病率为44.15/10万,在校生人数在2万以下的学校总报告发病率为34.00/10万,两者比较差异有统计学意义(P<0.001)。结论 2011—2015年南宁市高校学生肺结核发病率无明显波动,女学生报告发病率较男学生报告发病率高,且以≥20岁年龄组报告发病率为最高,在校生在2万以上的学校报告发病率较高,应在高校结核防治日常工作中给予这些学生更多关注。
Objective To analyze the epidemiological characteristics of pulmonary tuberculosis in some college students in Nanning from 2011 to 2015 and provide a theoretical basis for prevention and control of tuberculosis in schools. Methods The tuberculosis management information system was used to obtain the tuberculosis report information of some college students in Nanning and the epidemiological descriptive analysis was made. Results From 2011 to 2015, a total of 564 cases of tuberculosis were reported by college students in Nanning City, with an average annual incidence rate of 37.57 / 100,000. The incidence of each year reported 43.05 / 100000, 38.04 / 100000, 34.65 / 100000, 35.52 / 100000, 37.47 / 100000, the overall difference was not statistically significant (P = 0.53); no significant incidence of tuberculosis students Among the reported cases of tuberculosis among college students in Nanning from 2011 to 2015, the incidence of male reported was 34.53 / 100000 (337/975 891), and the incidence of female reported was 43.20 / 100000 (227/525 479). The incidence of women reported higher than men, the difference was statistically significant (P = 0.009). The prevalence of standardization of students in 20-22 age group was 69.94 / 100 000, the highest among all age groups. There was no significant difference in the incidence of medical students and non-medical students (P = 0.571) The above total incidence of school reports was 44.15 / 100,000, and the total incidence of school-based reports of less than 20,000 students was 34.00 / 100,000. There was significant difference between the two (P <0.001). Conclusion The incidence of pulmonary tuberculosis among college students in Nanning from 2011 to 2015 showed no significant fluctuation. The incidence of reported female students was higher than that of male students, and the highest incidence was reported in ≥20 years of age. The number of students with more than 20,000 students The report has a high incidence and should pay more attention to these students in the daily work of tuberculosis prevention and control in universities.