摘要
麻风防治是一项长期任务;基本消灭不等于完全消灭。在防治的后期,决策者和项目管理人员必须面对两大问题,即康复和早期发现散在的病人。近年来,山东省每年仍发现新病人约50名,其中约20%有2～3级畸残。因此,早期发现的工作仍有待改善。由于在防治后期,病人分布极为分散,普查、线调等方法已没有效益;接触者检查也不能每年进行,且所发现的病人占新病人的比例越来越低。充分利用各级综合医疗机构早期发现病人可能是解决该问题的方法之一。因此,调查各级综合医院医务人员对麻风的诊断知识和技能,对制定相应对策是必要的。
Leprosy control is a long-term project.Decision makers and program managers have to face how to deal with a few new cases at early stage of the illness in the late phase of the pro- gram.Utilization of all medical staff at different levels for case—finding might be one of the options for solving the problem.With this consideration,a questionnaire—based survey for assessing knowledge and skill of early diagnosing leprosy was conducted among some medical staff in three counties and in two provincial general hospitals,in order to gain some relevant information for a training program. The results showed that majority of the medical staff at both the levels were lacking in such knowledge and skill.The causes of the problem were discussed and possible solutions were suggested.
