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中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (6): 532-534.

• 论著 • 上一篇    下一篇

2005—2007年山西省综合医院肺结核病人报告、转诊情况分析

范月玲   

  1. 山西省疾病预防控制中心 太原 030012
  • 出版日期:2008-06-10 发布日期:2011-11-03

Analysis of pulmonary tuberculosis cases reported and referred from general hospital from 2005 to 2007

Fan Yueling   

  1. Shanxi Center for Disease Control and Prevention,Taiyuan 030012,China
  • Online:2008-06-10 Published:2011-11-03

摘要: 目的分析综合医院在肺结核病人发现中的作用,为进一步加强结防机构与综合医疗机构合作(医防合作,PPM-DOTS)和结核病防治可持续发展提供依据。方法收集2005—2007年山西省结核病防治规划月报表和山西省2005—2007年网络直报肺结核病人核查追踪情况月报表及有关资料进行分析结果2005—2007年山西省综合医院肺结核病人转诊到位率分别为34.2%、35.6%和39.2%;结防机构追踪率分别为65.6%、82.4%和91.7%;追踪到位率分别为65.9%、68.3%和71%;总体到位率分别为62.7%、71.8%和78.8%。在转诊到位的病人中,24.4%的病人为涂阳病人;追踪到位的病人中,31.9%的病人被诊断为涂阳病人。结论2005—2007年山西省综合医院肺结核病人转诊到位率、结防机构追踪率、追踪到位率和总体到位率逐年提高;全年发现的涂阳病人中,通过转诊、追踪发现的涂阳病人比例逐年增高,2007年达到18.6%,所以综合医疗机构与结防机构的合作有待进一步加强。

关键词: 结核, 肺/预防和控制, 医院, 综合

Abstract: Objective To provide the evidence for enhancing PPM-DOTS and maintaining sustainable development for TB control.By analysing the role of general hosipitals in TB care finding.Methods Shanxi Monthly report on TB case-finding from 2005 to 2007 and Shanxi Monthly report on TB suspect reporting and referring TB suspect from general hospital and being traced by TB control unit were collected and analyzed.Results The rate of referred from general hospital and cases arrived in TB dispensary were 34.2%、35.6% and 39.2% respectively;the rate of traced cases by TB dispensary were 65.6%、82.4% and 91.7% respectively;the rate of arrived in TB dispensary were 65.9%、68.3% and 71% respectively;the rate of total arrived in TB dispensary were 62.7%、71.8% and 78.8% respectively from 2005 to 2007.24.4% of TB cases and suspected referred from general hospital and arrived in TB dispensary were smear positive cases.31.9% of cases and suspected traced and arrived in TB dispensary were diagnosed smear positive.Conclusions The rate of referred from general hospital and cases arrived in TB dispensary were all increasing from 2005 to 2007;the rate of traced cases by TB dispensary;the rate of arrived in TB dispensary and the rate of total arrived in TB dispensary increased too from 2005 to 2007;the case finding proportion through referring and tracing increased every year from 2005 to 2007.The role of generals hospital in TB case finding is important and PPM-DOTS should be enhanced.

Key words: pulmonary tuberculosis/prevention and control, general hospital