不同人群中筛查肺结核病人的效果评价

Cost-effectiveness analysis on identification of pulmonary tuberculosis from different population

目的 评价从不同特征的人群中筛检肺结核病人的效果。方法 将受检人群分成肺结核可疑症状组和其他三组 ,分析比较各组人群中肺结核病人的检出率及其成本效果。结果 肺结核可疑症状组的活动性肺结核检出率为 35 90 .9/万、涂阳肺结核检出率为 115 9.1/万 ,明显比其他三组人群的检出率高 (P <0 .0 0 1)。肺结核可疑症状组检出活动性肺结核的平均费用为 10 3.0元 /例 ,检出涂阳肺结核的为 319.2元 /例 ,明显比其他三组人群的低。结论 在现有卫生资源的情况下 。

Objective To evaluate the effectiveness of identification of pulmonary tuberculosis from different population.Methods Target population was classified into pulmonary tuberculosis suspect group and other three groups. Identification rate of pulmonary tuberculosis and its cost-effectiveness were analyzed.Results In the suspect group, the identification rate of active pulmonary tuberculosis is 3?590.09/10?000, and the rate of pulmonary tuberculosis with smear positive is 1?159.1/10?000. Both are more than the identification rates of other three groups (P<0.001).The cost for identification 1 active pulmonary tuberculosis case and 1 smear positive case was 103.3 yuan and 319.2 yuan Respectively.Both of the cost was less than that of other three groups.Conclusion In the case of limited resources,the best way for detecting tuberculosis case is that identify the cases from the suspects who making clinical consultation.