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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (9): 926-930.doi: 10.3969/j.issn.1000-6621.2020.09.008

• 论著 • 上一篇    下一篇


王前, 周林(), 刘二勇(), 赵雁林, 李涛, 陈明亭, 杨丽佳*, 王嘉   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2020-06-29 出版日期:2020-09-10 发布日期:2020-09-18
  • 通信作者: 周林,刘二勇;
  • 作者简介:杨丽佳是中国疾病预防控制中心2020级硕士研究生
  • 基金资助:

A survey on the diagnostic ability of tuberculosis in the county-level medical institutions in China

WANG Qian, ZHOU Lin(), LIU Er-yong(), ZHAO Yan-lin, LI Tao, CHEN Ming-ting, YANG Li-jia*, WANG Jia.   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China(*YANG Li-jia is a master student of grade 2020 from Chinese Center for Disease Control and Prevention)
  • Received:2020-06-29 Online:2020-09-10 Published:2020-09-18
  • Contact: ZHOU Lin,LIU Er-yong;


目的 调查分析我国县级结核病定点医疗机构结核病诊断能力情况,为制订结核病预防控制策略和措施提供依据。方法 2019年7—12月,课题组进行了全国基层结核病诊断服务能力现况调查,描述2019年我国2316家县级结核病定点医疗机构(不包括我国西藏自治区及港澳台地区)从事结核病临床、影像学、实验室的医生人员数量及其分布情况,以及结核病辅助检查的开展情况。结果 2316家县级结核病定点医疗机构中,从事结核病临床、影像学、实验室的医生学历以本科和大专为主,分别占64.14%(24014/37439)和23.57%(8823/37439),职称以初级以下、中级为主,分别占44.07%(16501/37439)和36.15%(13533/37439)。在2316家县级结核病定点医疗机构中,能开展结核病计算机X线摄影(CR)、数字X线摄影(DR)、CT/MRI检查者分别占29.79%(690/2316)、88.77%(2056/2316)、75.86%(1757/2316);能开展结核菌素试验(PPD试验)、γ干扰素释放试验(IGRA)、抗结核抗体感染检测者分别占70.73%(1638/2316)、23.01%(533/2316)、66.02%(1529/2316);能开展支气管镜、B型超声检查者分别占36.10%(836/2316)、81.26%(1882/2316)。结论 县级结核病定点医疗机构结核病防治专业技术人员不足,缺乏高层次人才,结核病实验室诊断能力及结核病影像学检测能力均有待提高。

关键词: 结核, 县级定点医疗机构, 诊断, 专业能力, 数据收集, 研究报告


Objective To analyze the TB diagnostic capacity in county level TB designated hospitals, and to provide a basis for formulating strategies and measures in TB prevention and control. Methods From July to December, 2019, the research team conducted a survey on the current situation of TB diagnosis service capacity in China’s county level TB designated hospitals, and described the number and distribution of medical personnel engaged in TB clinical, imaging and laboratory work in 2316 county-level TB designated medical institutions (excluding Tibet Autonomous Region, Hong Kong, Macao and Taiwan), as well as the implementation of TB auxiliary examination. Results Among 2316 county-level TB designated medical hospitals, the doctors engaged in TB clinical, imaging and laboratory were mainly undergraduate and junior college education background, accounting for 64.14% (24014/37439) and 23.57% (8823/37439), respectively. The professional titles were mainly junior and intermediate, accounting for 44.07% (16501/37439) and 36.15% (13533/37439) respectively. Among 2316 county-level TB designated medical institutions, 29.79% (690/2316), 88.77% (2056/2316) and 75.86% (1757/2316) could carry out TB computer radiography (CR), digital radiography (DR) and CT/MRI, respectively; 70.73% (1638/2316), 23.01% (533/2316), 66.02% (1529/2316), 36.10% (836/2316) and 81.26% (1882/2316) could carry out tuberculin test (PPD test), interferon gamma release test (IGRA) and antibody test, respectively. Conclusion County-level designated tuberculosis medical institutions are in shortage of professional health care workers in TB prevention and control as well as high-level professionals. TB diagnosis capacity in laboratory and imaging need to be improved.

Key words: Tuberculosis, Designated medical institutions at county level, Diagnosis, Professional competence, Data collection, Research report