四川省若尔盖县结核病例的发现状况分析

ANALYSIS ON CASE-FINDING STATUS OF TUBERCULOSIS IN RUOERGAI COUNTY,SICHUAN PROVINCE.

目的:分析四川省若尔盖县的结核病例发现现状,探讨适合该地区的病例发现方式,提高结核病发现率。方法:通过问卷调查表收集资料,描述分析结核病例的发现方式。结果:县城城区的结核病可疑者首诊于结防机构的比例较牧区和半农半牧区的高(χ2=6.473,P=0.039);确诊的42例结核病患者中,28.6%通过因症就诊被发现,71.4%通过日常推荐就诊被发现;48.4%的活动性肺结核患者首诊选择县医院。结论:日常推荐是该县发现结核病人的最主要的方式;县医院是结核病人首诊的主要场所,应充分发挥县医院在结核病人发现中的作用。

Objective： To understand the situation of tuberculosis- case- finding in Ruoergai county of Sichuan province, explore better case- finding mode suited to the local Tibetan communities, and in turn enhance case- finding efficiency. Methods： The questionnaire was used to collect data, the mode of tuberculosis- case- finding was described and analyzed. Results： The suspected tuberculosis patients in the urban area of Ruoergai county firstly seeking the doctors of anti - tuberculosis station was more than patients in other area （χ^2= 6. 473, P = 0.039）; 42 cases of tuberculosis patients were found or confirmed, among which 28.6 % were detected by the mode of initiatively clinical consultation and 71.4% were detected by the mode of routine- recommendation; 48.8 % patients of active pulmonary tuberculosis visited the County Hospital firstly. Conclusion： Routine- recommendation mode is uppermost case- finding mode, the County Hospital is the primary local where tuberculosis patients firstly seek doctors, so we should sufficiently bring into play of the County Hospital in the course of finding tuberculosis cases.