不同发现方式在结核病发现中的作用

On the functions of different ways in tuberculosis case founding

目的分析不同发现方式在肺结核病人发现中的作用。方法对新疆医科大学第五附属医院结核病防治门诊部2011-2013年度可疑肺结核病人及肺结核病人资料进行回顾性分析。结果 2011-2013年,转诊发现方式发现肺结核居首位,其中可疑肺结核病人1 130例,肺结核病人465例,分别占总发现人数的33.7%和45.2%,肺结核病人检出率为41.1%。追踪方式发现肺结核病人的检出率为49.3%,显著高于因症就诊、因症推荐、转诊和其他发现方式的检出率,差异有统计学意义(χ2=199.922,P<0.05)。结论综合医院转诊发现方式是肺结核病人发现的主要方式,但其检出率有待提高。同时,不可忽视健康检查、接触者检查等其他方式在肺结核病人发现中的意义。

Objective To analyze the functions of different ways in tuberculosis cases finding. Methods A retrospective analysis was conducted on the patients with pullnonary tuberculosis and suspected tuberculosis from 2011 to 2013 in the Fifth Affiliated Hospital to Xinjiang Medical University. Results From 2011 to 2013, the way of referrals took first place in finding tuberculosis. By means of referral, 1 130 cases with suspicious TB and 465 cases with tuberculosis were found, which accounted for 33.44% and 44.32% respectively in the total number of the found cases, and the rate of TB detection was 41.15%. The rate of TB detection by tracking took up 49.315%, significantly higher than other finding ways, with sta- tistically significant difference（X2 = 199.922, P 〈0.05）. Conclusion It suggested that referral was the main way to find patients with pulmonary tuberculosis in General Hospitals, but its detection rate needs to be increased; physical checks, contact inspection and other checking ways were of significance in finding patients with pulmonary tuberculosis.