2002～2007年石家庄市肺结核病人不同发现方式效果分析

The effect analysis of the different case-finding ways to the pulmonary tuberculosis patients in Shijiazhuang from 2002 to 2007

目的通过2002年以来石家庄市肺结核病人不同来源发现的分析。方法对2002～2007结核病季报、月报表、追踪到位本进行总结分析。结果全市共接诊可疑肺结核症状者147935例，发现活动性肺结核病人27791例，活动性肺结核新登记率由2002年的29．92／10万提高到2007年的60．23／10万，涂阳登记率由2002年24．52／10万上升至2007年的38．99／10万。从2004年至2007年肺结核病人到位率由55．20％上升到80．09％。因症就诊占62．87％，综合医院转诊占12．21％。结论因症就诊和医院转诊是结核病人发现的主要方式。石家庄市病人发现呈稳步上升，转诊工作有所加强，病人追踪有待提高。

Objective To explore effective methods on the tuberculosis （TB） control through evaluating the effects of the different case-finding ways to the pulmonary TB （P-TB） patients in Shijiazhuang since 2002. Methods The data of TB patients were analyzed based on monthly or by season and book of case-tracing documents. Results 147935 cases of suspected P-TB patients in the whole city participated in the study. 27791 cases of the active P-TB patients were detected. The new case registration rates of the active P-TB patients increased from 29. 92/105 in 2002 to 60.23/105 in 2007. The registration rates of smear-positive P-TB patients increased from 24. 52/105 in 2002 to 38.99/105 in 2007. The case-arriving rates of P-TB rose from 55.20% in 2004 to 80. 09% in 2007. The proportions of the pulmonary TB patients seeking medical advice and transferring from health institution were 62. 87% and 12.21% respectively. Conclusion The method used in the study is a main one in detecting pulmonary TB patients seeking medical advice and transferring from health institution. The work of case-finding and case-refering has been improved gradually. The case-tracing work needs enhancing.