青海省2009-2012年肺结核患者就诊情况和发现方式分析

Analysis on the diagnosis and source of tuberculosis cases in Qinghai province from 2009 to 2011

目的分析青海省2009-2012年肺结核病患者就诊情况和发现方式,为今后青海省结核病防控技术、政策和方法的制定提供理论依据。方法利用2009-2012年全国结核病管理信息系统中的省内各医疗单位及疾控系统录入的数据进行分析。结果 2009-2012年青海省结核病管理信息系统网络直报肺结核病疑似者62 371例,查痰总人数为599 33例,共诊断活动性肺结核患者14 119例,其中因症就诊所诊断的患者数为8 788例,构成比为62.24%。结论肺结核病疑似者就诊率为278.14/10万,需要加强结核病健康促进和医防合作工作;保持结核菌痰检实验室工作质量;肺结核患者的主要发现方法为因症就诊和转诊。

Objective Analyze the diagnosis and source of tuberculosis cases in Qinghai province 2009 -2012 to provide scientific evidence for the establishment of tuberculosis control technic , policies and methods. Meth- ods Apply the data input by the health care units and CDCs （ centre for disease control and prevention） in the national wide tubereulosis management information system. Results 62, 371 tuberculosis suspects were reported in the national wide tuberculosis management information system 2009 ~ 2012, and 599, 33 received sputum examination out of them, and 14, 119 active tuberculosis eases were detected; and the detection of 8, 788 tuberculosis cases were due to consultation by symptoms , the constituent ratio was 62.24%. Conclusions The consultation rate of tuberculosis suspects was lower than 300/100, 000, it is necessary to strengthen the tuberculosis health promotion; keep the quality of the tuberculosis sputum examination laboratory; the main source of tuberculosis cases were consultation by symptoms and referral.