农村地区两种提高肺结核患者发现方法的效果观察

Comparison of Two Ways of Raising PTB Finding Rate in Rural Area

[目的]探讨肺结核病人检出途径,提高病人发现率。[方法]2004年6月在东营市农村4个乡镇,采取平行对照、现场干预方法,试验组用集中推荐方式发现病人,对照组采用因症就诊方式发现病人。[结果]可疑者就诊率试验组与对照组分别为29.33‰、4.06‰,活动性肺结核病人检出率试验组与对照组分别为301.4/10万、51.3/10万(P<0.01);涂阳肺结核病人检出率试验组与对照组分别为49.4/10万、29.0/10万(P>0.05)。[结论]在农村采取集中推荐方式能显著提高肺结核病人的发现率。

[Objective]To Probe an efficient ways of improving PTB finding rate in rural area. [Methods] By ways of parallel reference field intervention, case finding in test group was conducted by concentration recommend and in control group based on the data from outpatients,in four towns of Dongying in June 2004. [Results]The visiting rate of the suspected patients in test group and control group was 29.33‰ and 4. 06‰ respectively. The finding rate in active PTB patients in test group was 301.4/100 000,while in control group was 51.3/100 000 （ P 〈0.01）. The finding rate of smearpositive PTB patients was 49.4/100 000 in test group,and 29.0/100 000（ P 〉0.05） in control group. [Conclusion]PTB case finding rate can be improved by concentration recommend in rural areas.