张掖市肺结核可疑症状者就诊情况分析

Survey of suspected tuberculosis outpatients in Zhangye City,Gansu Province

目的了解2002年7月1日～2010年6月30日甘肃省张掖市实施世界银行贷款/英国赠款中国结核病控制卫十项目期间可疑肺结核病人就诊情况。方法按照世界银行贷款/英国赠款中国结核病控制卫十项目手册规定,对实施项目8年后张掖市的肺结核可疑症状者就诊情况进行分析,并用Epidata软件进行统计分析。结果 8年间,共登记接诊40 152例肺结核可疑症状者,以农村患者为多,共35 416例,占80.7%。初次诊断为结核是在县级以上综合医院的有13 592例(36.0%),在县级疾控机构的7 400例(19.6%),在乡镇卫生院的11 590例(30.7%),在私人个体诊所的5 169例(13.7%)。在结防机构就诊的7 528例(17.1%)。11 706例患者同时接受痰检和X线检查,占57.1%,仅有15518例接受过痰菌检查,占75.7%,结论项目实施后可疑结核病症状者的就诊率、痰检率得到提高,但在结核病专科门诊就诊率低,应加强管理和健康促进工作,提高可疑肺结核症状者就诊率和肺结核病人发现率。

Objective To understand the status of suspected tuberculosis outpatients in Zhangye City,Gansu Province.Methods The data concerning the suspected tuberculosis outpatients during implementation of World Bank/British Bank loan or China Tuberculosis project from July 1,2002 to June 30,2010 were analyzed based on the provisions World Bank/British loan China tuberculosis control project manual who Epidata X with statistical analysis software.Results Eight years after implementation of the tuberculosis control project there 40 152 suspected tuberculosis cases were diagnosed including 35 426 cases from rural areas,accounted for 80.7%.There 13 592（36.0） diagnosed as suspected tuberculosis in integrated county hospitals or above,7 400（19.6%） cases were diagnosed in county centers for disease control and prevention,11590（30.7%） in township hospitals,5 169（13.7%） in private clinics,In addition the 11 706 cases were simultaneously diagnosed sputum and by X-ray examinations,accounted for 57.1% and sputum examination was only given to 15 518 cases（75.7%）.Conclusion The proportion of suspected tuberculosis seeking medical service and sputum examination were increased after implementation of the project.But the referral rate was low and be enhanced.