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目的分析2006-2008年结核病人发现途径,为进一步做好长春市结核病人发现工作积累实践经验。方法收集2006-2008年长春地区5县5区上报的季报、月报等相关常规监测资料。结果初诊结核病人就诊率3.3‰,可疑症状者就诊率1.1‰。病人来源以就诊为主,占75.9%,不同来源的初诊病人中活动性肺结核病人及涂阳病人检出率不同,转诊、追踪到位、日常推荐病人检出率明显高于其他初诊病人(P<0.005)。咳嗽咳痰大于三周人群涂阳病人检出率及发现率明显高于咳嗽咳痰小于三周的人群(P<0.005)。综合医院网报病人,涂阳、未查痰病人转诊到位率显著高于涂阴病人(P<0.005)。结论病人来源以就诊为主,转诊、推荐起到了一定的辅助作用,三级网络、综合医院未能充分发挥作用。网报及追踪工作应需进一步加强。
Objective To analyze the ways of discovering tuberculosis patients in 2006-2008 and accumulate practical experience for further discovering tuberculosis patients in Changchun. Methods The data collected from quarterly and monthly reports of 5 counties and 5 districts in Changchun from 2006 to 2008 were collected. Results The initial visit TB rate was 3.3 ‰, and the suspect symptoms referral rate was 1.1 ‰. The source of the patients was mainly medical treatment, accounting for 75.9%. The detection rates of active pulmonary tuberculosis patients and smear positive patients were different among newly diagnosed patients from different origins. The referral rate and follow-up were higher than those of other newly diagnosed patients (P <0.005). The detection rate and the detection rate of smear-positive patients with cough and sputum more than three weeks were significantly higher than those with cough and sputum less than three weeks (P <0.005). Comprehensive hospital net reported patients, smear positive sputum patients referral rate was significantly higher than smear-negative patients (P <0.005). Conclusion The source of the patients is mainly medical treatment, referral and recommendation play a supplementary role, and the tertiary network and general hospital can not fully play their role. Web and tracking should be further strengthened.