2006年龙岩市综合医院肺结核诊断与治疗管理现状调查

Survey on Diagnosis and Treatment of Tuberculosis in General Hospital in Longyan City in 2006

[目的]了解县级综合性医院对住院8市结核病人的诊断、治疗、管理情况。为促进结核病防治机构与综合性医院相互合作，实施现代结核病控制策略（PPM-DOTS）．规范结核病诊断弓治疗管理提供科学的依据。[方法]检查县级综合性医院传染科住院肺结核病人病历资料，收集病人抗结核药物用药情况、痰检及网络直报资料。[结果]2006年6～9月，龙岩市5所综合性医院住院肺结核病人41例。其中．初治34例，复治7例；杳痰28例，查痰率68．3％（28／41），结核分枝杆菌检出率28．6％（8／28）。13例未查痰病人中11例使用抗结核药物；网络直报漏报率29．3％。[结论]应规范住院肺结核病人的诊断与治疗管理，控制结核病流行。

[Objective]To understand the diagnosis,treatment and management of tuberculosis for inpatients in county general hospital,in order to promote Public-Private Mix for DOTS （PPM-DOTS） and provide scientific basis for diagnosis and treatment of TB. [Methods]Data of the inpatients＇ case history at the department of contagious disease in county general hospital were examined, the cases＇ information of anti-tuberculosis drugs, result of sputum smear examination and direct reporting with network were collected. [Results]From June to September 2006 ,there were 41 inpatient TB cases in 5 general hospitals,including 34 new cases and 7 re-treated ones; sputum samples were examined [or 28 cases and 8 were positive. 68. 3% TB patients＇ sputum samples were examined. （28/41）. Mycobacterium tuberculosis was detected in 28.6% （8/28） of the TB patients. Among 13 cases, who did no had sputum examined, 11 had taken anti-tuberculosis drugs. The proportion of missing report of direct network reporting was 29.3%. [Conclusion]The diagnosis and treatment for TB inpatients must be standardized. The epidemic of tuberculosis can be controlled.