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目的分析评价石家庄市2007-2010年结防机构与综合医疗机构合作效果,进一步完善结核病人发现机制。方法加强结防机构与综合医院合作,开展结核病网络直报、转诊和追踪管理,强化工作制度和实行奖励措施,评价实施效果。结果石家庄市2007-2010年结防机构登记肺结核病人23 975例,其中涂阳15 234例,涂阴8 552例,结核病人登记数逐年增多。网报疑似结核病人转诊到位率从26.3%提高到38.2%,追踪到位率从60.2%提高到76.9%,总体到位率从60.5%提高到84.6%,且呈逐年上升趋势,差异有统计学意义(P<0.05)。结论通过加强结防机构与综合医院合作并采取综合措施,有效提高了石家庄市肺结核人发现率。
Objective To analyze and evaluate the effect of cooperation between anti-tuberculosis agencies and general medical institutions in Shijiazhuang from 2007 to 2010 to further improve the mechanism of TB detection. Methods To strengthen cooperation between prevention and treatment agencies and general hospitals, conduct direct reporting, referral and follow-up management of tuberculosis network, strengthen the work system and implement incentive measures, and evaluate the implementation effect. Results A total of 23 975 pulmonary tuberculosis cases were registered in the prevention and treatment institutions in Shijiazhuang from 2007 to 2010, including 15,234 smear positive smears and 8,552 smear positive smears. The number of registered TB cases increased year by year. According to statistics, the referral rate of suspected TB patients increased from 26.3% to 38.2%, the follow-up rate increased from 60.2% to 76.9%, and the overall penetration rate increased from 60.5% to 84.6%, showing a trend of increasing year by year with a statistically significant difference (P <0.05). Conclusions The detection rate of tuberculosis in Shijiazhuang effectively increased by strengthening cooperation between antistatic agencies and general hospitals and taking comprehensive measures.