CAJ | 학술논문

收集2007-2010年某高校13 360名新生入学时的结核菌素试验(PPD)和胸片资料,在新生中检出结核病25例(患病率0.18％),PPD强阳性组1 790例(13.40％).将X线胸片无异常、PPD强阳组的学生,在知情同意的基础上分为两组,治疗组(814例)予以预防性抗结核治疗,非治疗组(976例)不予干预.4届学生在校4年期间共检出结核病34例,患病率0.25％.除2008年学生外,各年级不同PPD结果组学生患病率均为强阳组明显高于阳性组和阴性组,组间差异有统计学意义(分别为x2=23.20、10.58、18.80,P＜0.05).提示PPD试验、胸片仍是新生结核病筛查的重要手段,高校对PPD强阳性者采取预防性治疗,定期健康体检是控制学校结核病的有效措施.
수집2007-2010년모고교13 360명신생입학시적결핵균소시험(PPD)화흉편자료,재신생중검출결핵병25례(환병솔0.18％),PPD강양성조1 790례(13.40％).장X선흉편무이상、PPD강양조적학생,재지정동의적기출상분위량조,치료조(814례)여이예방성항결핵치료,비치료조(976례)불여간예.4계학생재교4년기간공검출결핵병34례,환병솔0.25％.제2008년학생외,각년급불동PPD결과조학생환병솔균위강양조명현고우양성조화음성조,조간차이유통계학의의(분별위x2=23.20、10.58、18.80,P＜0.05).제시PPD시험、흉편잉시신생결핵병사사적중요수단,고교대PPD강양성자채취예방성치료,정기건강체검시공제학교결핵병적유효조시.
The statistics of purified protein derivative (PPD) test and chest radiograph of freshmen at a university from 2007 to 2010 were collected and examined.The result showed 25 tuberculosis cases (a prevalence rate of 0.18％) and 1 790 cases (13.40％) with strong positive PPD.After giving informed consents,the students with strong positive result and no abnormality on chest radiograph were divided into two groups.The treatment group (n =814) received precautionary anti-tuberculosis treatment while the nontreatment group (n =976) had no treatment.And 34 tuberculosis cases were found during four years in school (0.25％).Except for freshmen in 2008,the prevalence rate of the strong positive PPD groups much higher than that of the positive and negative groups and the difference had statistic significance between the groups (x2 =23.20,10.58,18.80,P ＜ 0.05).Therefore PPD test and chest radiograph are two main methods for an early diagnosis of tuberculosis among freshmen.Adopting precautionary anti-tuberculosis treatment for students with strong positive PPD and regular physical examinations are effective measures for tuberculosis control at universities.