县级结核病防治机构胸部X线诊断现状分析

Analysis of the status of chest X-ray diagnosis in county TB dispensary in China

目的 分析胸部X线诊断在结核病控制工作中作用，以及结核病防治机构胸部X线诊断能力，培训情况，提高胸部X线诊断水平。方法 分析2003年结核病登记报表资料，2003年底全国结核病人力资源调查数据资料，两个西部省胸部X线诊断培训班课前测试资料，1994～2004年结核病影像文献数据资料。结果 99．9％的初诊结核病疑似患者进行了胸部X线检查，肺结核检出率33．8％。65．5％县级结核病防治机构影像诊断人员，每日阅片少于3张，70．0％为初级职称或无职称，90．8％为本科以下学历。各级举办各类X线诊断培训班次仅占2．7％，接受培训人次仅占0．4％。结论 应重视结核病防治机构X线诊断能力的培训，尤其是县级人员的培训，增加培训的频度，开展形式多样的培训方式，改善培训质量。

Objective To analyze the effect of chest X-ray diagnosis in TB control in China, the capacity of chest X-ray diagnosis in TB dispensary and their training status, and to improve the level of chest X-ray diagnosis. Methods The following data were analyzed： the data on TB register report in 2003, the data from the human resource survey in 2003, data of pre-class testing on chest X-ray training course in two western provinces, the literature data of chest X-ray of TB from 1994 to 2004. Results 99.9 % of suspected TB patients had been X-ray checked, and of them, 33.8 % were identified as PTB. And in the county level, 65.5 % of X-ray doctors read less than 3 slides each day, and 70.0 % of X-ray doctors were equal or less than basic level concerning the technical post, 90.8% graduated from the school lower than college. X-ray diagnosis training courses only accounted for 2.7% among all the training courses in all the level, and the amount of participants being training only accounted for 0.4 % of all the trainees. Conclusion The training of X-ray diagnosis should be strengthened, especially to the county level staff. In order to improve the quality of training, the frequency of training should be increased and different training methodology should be adopted.