汕头市近四年肺结核病例发现工作评价

Discovery Work Evaluation for Tuberculosis Case in Shantou City in Recent Years

目的 评价汕头市近4年肺结核病例的发现工作。方法 对2002～2005年汕头市各县（区）季报表及初诊病人登记本、结核病人登记本、细菌实验室登记本等资料进行分析。结果 4年间，可疑肺结核者阳性检出率从28．2％上升到38．8％，提高了10．6个百分点。涂阳肺结核新登记率从32．6／10万提高到40．8／10万，新发涂阳肺结核新登记率从30．2／10万提高到36．5／10万。结论 4年间汕头市肺结核病例的发现水平不断提高，主要是加强了综合医院的联系，建立健全了可疑肺结核者和肺结核病人的转诊制度、追踪制度和激励机制，提高了转诊率和到位率。

Objective To evaluate the discovery work for tuberculosis case in Shantou City in recent years. Method From the year 2002 to 2005, to analyze the documents of quarterly statement, registration book of initial visit to doctor, registration book of tuberculosis patients, registration book of bacterial testing laboratory and so on. Result Within above four years, positive relevance ratio.for doubtful tuberculosis patients is increased from 28.2% to 38.8% , which means 10. 6 percent unit is increased. New registration ratio for smear positive tuberculosis is increased from 32.6/100 000 to 40. 8/100 000. New registration ratio for new discovery of smear positive tuberculosis is increased from 30. 2/10 0000 to 36.5/100 000. Conclusion Within these four years, discovery capability of tuberculosis cases in Shantou City has been increasing. It mainly depends on taking following measures： Enhancing the communication with comprehensive hospitals; Having built transferred diagnosis and treatment system, tracing system and encouragement system for doubtful tuberculosis patients and tuberculosis patients. These measures have increased transferred diagnosis and treatment ratio and curative ratio,