影响评价肺结核病人发现工作的因素

The Influential Factors in TB case-finding

目的探讨评价肺结核病人发现率的影响因素。方法分析对比13个世行贷款结核病控制项目省10年项目期间结核病人发现工作相关资料,获取评价病人发现工作的影响因素。结果新疆涂阳登记率和病人发现系数最高分别为495/10万和494/10万,但发现掌握率仅排第6位(255%);山东省发现系数最低(187/10万),但发现掌握率反而排第4位(303%)。结论可疑病人就诊率、痰检率和痰阳性检出率是影响病人发现率的重要因素,应用涂阳登记率和病人发现系数评价病人发现工作,主要反映了工作量,而不能表示不同疫情地区工作质量的实质。因此,评价病人发现工作水平的最佳指标应是以当地疫情为基准的病人发现掌握率。

Objective To investigate the influential factors of case-finding rate of the pulmonary tuberculosis Methods The implementing effects of tuberculosis control project of 13 provinces was analysed in the past 10 years Results The case-finding rate was first in Xinjiang,but control rate of smear positive was only sixth Though the case-finding coefficient of Shandong was the lowest, but control rate of smear positive was the fourth in 13 provinces Conclusions The important factors might be the rate of sputum examination, smear-positive and suspect examination The appraising of case-finding work using the rate of smear positive registered and the case-finding coefficient reflect mainly the amount of work,but no quality So, the best target would be the rate of control TB epidemic situation