农村肺结核患者发现与治疗现状调查

Investigation on the detection and treatment of tuberculosis patients in rural area,Xianning City

目的了解咸宁市农村肺结核患者发现与治疗现状,为制定防治措施提供科学依据。方法按照分层随机抽样的原则,在咸宁市咸安、通山、崇阳、通城4个县市抽取583名农村肺结核患者,对其基本情况、诊断及治疗状况进行调查分析。结果农村肺结核患者的首发症状为咳嗽、咳痰、乏力等;首次出现症状到初次就诊的时间平均为8.4d;首诊机构以乡镇卫生院、县级以上综合医院、村卫生室为主,共占73.8%;肺结核患者确诊机构以非结防机构为主,平均确诊时间为12.8d;接受规则治疗的肺结核患者仅为26.8%,间断或中断治疗的主要原因为经济困难与症状改善。结论做好结核病健康促进和转诊工作是确保农村肺结核患者及时就诊、及时诊断和规则治疗的重要措施。

Objective To understand the detection and treatment of tuberculosis patients in the rural area,Xianning,and provide scientific basis for making prevention policy.Methods 583 tuberculosis patients from four counties in rural area,Xianning city were selected according to the stratified random sampling method.The basic condition of the patients and their treatment were investigated.Results The initial symptoms were cough,sputum,lassitude etc.The average period from the initial symptom to the first consultation was 8.4 days.The first diagnosed institutions were mainly county hospitals,township hospitals,accounting for 73.8%.Most patients were diagnosed in non-professional tuberculosis institutions,the average diagnosis time was 12.8 days.Only 26.8% of the tuberculosis patients received regular treatment.The main reasons for discontinued or intermitted treatment were economic problem and symptoms being somewhat improved.Conclusions To ensure the timely diagnosis and regular treatment,it is of urgent need to improve health education and the transfer of tuberculosis patients when needed.