福建省龙岩市结核病控制项目工作病人来源分析

The analysis of the origin of the tubercular patients in the program of tuberculosis control in Longyan city of Fujian

目的 分析福建省龙岩市 1999年结核病控制项目工作病人来源情况。方法 根据列入项目管理的病人来源 ,对病人发现工作进行分析评价。结果 列入项目管理的 573例涂阳病人中 ,有71.4 %的病人是综合性医院转诊。且初治的比例比病人主动到结核病防治机构求诊高 (P <0 .0 1)。此外 ,主动到结核病防治机构求诊的病人中 ,1994 /1995年实施卫生部结核病控制项目县 (40 .8% )高于 1999年实施的WHO西太区结核病控制项目县 (16 .4 % )。结论 (1)结核病控制项目工作的高发现率关键在于综合性医院的转诊。 (2 )结核病防治机构开设结防门诊的长期性和必要性。

Objective The essay analyses the conditions of the program of tuberculosis control and the origin of the tubercular patients in 1999 in Longyan of Fujian province.Methods According to the origin of the tubercular patients in the program of tuberculosis control in 1999,we angalysed the case-finding work of tuberculosis.Results 573 smear-positive patients are under the program of our management,71.4 percent of which have previously been examined in general hospitals.Also,It's found that the rate of the Initial cases were higher than that of the patient voluntarily to be examined in the Antituberculosis institute (P<0.01).Conclusion This fact illustrates that the tuberculosis patients are majorly detected in the general hospitals and it is a necessary and long-term work to set up the clinics for the tuberculosis in antituberculosis institute.