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[目的]比较太原市不同来源涂阳肺结核病人的有关情况,为进一步提高太原市涂阳病人的发现率提供科学依据。[方法]对2004～2008年太原市不同来源涂阳肺结核病人相关资料进行分析。[结果]2004～2008年太原市合计发现涂阳肺结核病人5 454例,其中来源于就诊的占50.95%,转诊的占41.99%,因症推荐的占5.41%,其他来源的占1.65%。涂阳病人来自就诊者所占比例总体呈下降趋势,来自转诊者所占的比例呈上升趋势(P<0.01)。2004～2008年平均痰涂阳检出率,转诊病人、就诊病人分别为32.85%、21.71%(P<0.01);咳嗽、咳痰≥3周或咯血者、咳嗽、咳痰<3周或其他症状者分别为35.08%、12.17%(P<0.01)。初诊病人X线胸片异常率,咳嗽、咳痰≥3周或咯血者、咳嗽、咳痰<3周或其他症状者分别为81.79%、60.77%(P<0.01)。[结论]2004～2008年太原市涂阳病人来自转诊者所占比例呈上升趋势;平均痰涂阳检出率,转诊病人、咳嗽咳痰时间长或咯血者较高。
[Objective] To compare the situation of smear-positive pulmonary tuberculosis patients from different sources in Taiyuan and provide scientific basis for further improving the detection rate of smear-positive patients in Taiyuan. [Methods] The related data of smear-positive pulmonary tuberculosis patients from different sources in Taiyuan from 2004 to 2008 were analyzed. [Results] A total of 5 454 cases of smear positive pulmonary tuberculosis were found in Taiyuan from 2004 to 2008, among which 50.95% were from the clinic, 41.99% were referred, 5.41% were due to illness, and 1.65% were from other sources. The proportion of smear-positive patients coming from the clinicians showed a general downward trend, and the proportion of those from the clinicians showed an upward trend (P <0.01). The average sputum smear positive rate was 32.85% (21.71%) in referral patients and visiting patients in 2004-2008 (P <0.01), cough, sputum more than 3 weeks or hemoptysis, cough, sputum less than 3 weeks or Other symptoms were 35.08%, 12.17% (P <0.01). The newly diagnosed patients had an abnormal rate of chest X-ray, cough, sputum ≥ 3 weeks or those with hemoptysis, cough, expectoration <3 weeks or other symptoms were 81.79%, 60.77% (P <0.01). [Conclusion] From 2004 to 2008, the proportion of smear positive patients in Taiyuan from the referral increased. The average sputum smear positive rate, referral patients, cough and expectoration for a long time or high hemoptysis were higher.