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中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (6): 323-326.

• 论著 • 上一篇    下一篇

150例农村地区肺结核可疑症状者就诊情况分析

陈慧娟;李杨   

  1. 贵州省疾病预防控制中心结核病防治所 贵阳 550004
  • 出版日期:2009-06-10 发布日期:2011-11-03
  • 基金资助:
    第四轮中国全球基金结核病项目实施性研究

Analysis on clinic-visiting of 150 suspected pulmonary tuberculosis

Chen Huijuan, Li Yang   

  1. Guizhou Provincial Institute for TB Control and Prevention, Guiyang 550004,China
  • Online:2009-06-10 Published:2011-11-03

摘要: 目的了解肺结核可疑症状者在县级及乡镇的就诊情况。方法在贵州省的8个乡镇选取150例肺结核可疑症状者进行问卷调查。结果到县级就诊“治疗的机会成本”是到乡镇的16.8倍,58.7%的可疑症状者选择基层医疗机构作为首诊单位,首诊延迟的患者占44.7%;只有30.7%的结核病人初次诊断在县级结防机构,16.7%的结核病人诊断延迟;在乡镇就诊的可疑症状者平均花费为149.13元,接受痰菌检查者占67.9%。结论乡镇查痰点方便病人就诊,但乡镇卫生院诊断水平相对低。非结防机构对肺结核病人的确诊延迟情况严重。

关键词: 结核, 肺/预防和控制, 农村卫生, 问卷调查

Abstract: Objective To analyze clinic-visiting of suspected pulmonary TB in the county and township hospitals. MethodsThe questionnaires were carried out among 150 clinical visitors with suspected pulmonary TB from 8 townships in Guizhou province. Results“Treatment opportunity cost” for clinic-visiting at county-level was 16.8 times as much as those at township-level. 58.7% visitors with suspected pulmonary tuberculosis went to basic medical units as the first diagnosis unit, and 44.7% suspected were delayed before the first diagnosis. There were only 30.7% TB patients diagnosed at the center of TB control at county-level and 16.7% TB patients delayed at the same level.The average cost for suspected visitors at township-level was 149.13 yuan. Sputum inspections were made for 67.9% suspected. ConclusionIt is convenient to carry out sputum inspection for patients at township-level, but most of patients couldn’t get free examinations. It’s very serious that TB patients’diagnosis were delayed at non-antituberculosis institutions.

Key words: pulmonary tuberculosis/prevention & control, rural health, questionnaires