广州市结核病定点医院结核专科门诊患者综合情况分析

General information of outpatients from tuberculosis specialist clinic of a Guangzhou designated tuberculosis hospital

目的探讨结核病定点医院在结核病控制中的作用,为确立新型结核病防控体系提供科学依据。方法对本院2015—2019年医院门诊日志信息齐全病例进行回顾性分析。结果203242例结核病专科门诊病例纳入研究,其中:104758例病例(51.54%)来自广州市11个行政区划,73151例病例(35.99%)来自广东省其他20个地级市,25333例病例(12.46%)来自33个其他省(市、自治区、特区)的451个省直辖市(县、区)。就诊患者男女性别比例为1.58∶1(124609/78633),童年(0~6岁)、少年(7~17岁)、青年(18~44岁)、中年(45~59岁)、轻老年(60~74岁)、真老年(≥75岁)病例数分别为3791、7850、92834、51991、37329和9267例。临床诊断为肺结核、肺外结核、其他肺部疾病、陈旧性肺结核、肺部健康者分别为73806、17311、37938、25738和48449例,分别占病例总数的36.31%、8.52%、18.67%、12.66%和25.02%。结论结核病定点医院在结核病例发现、诊断与治疗中的地位日益重要,在结核病控制体系中需要加强医防合作的新思维、新举措。

Objective To explore the role of designated tuberculosis hospitals in tuberculosis prevention and control,and to provide scientific basis for establishing a new type of tuberculosis prevention and control service system.Methods The general information from the clinic log of outpatients at the tuberculosis specialist clinic of our hospital from 2015 to 2019 was retrospectively analyzed.Results 203242 tuberculosis specialist outpatients were included in the study;of which,104758 cases(51.54%)were from 11 direct jurisdictions of Guangzhou,73151 cases(35.99%)from other 20 direct jurisdictions of Guangdong province,and 25333 cases(12.46%)from 451 direct jurisdictions(counties,districts)of 33 other provinces(cities,autonomous regions,and special zones).The ratio of male to female was 1.58∶1(124609/78633);and the case numbers of childhood(0-6 years old),teenagers(7-17 years old),youth(18-44 years old),middle-aged(45-59 years old),the lightly elderly(60-74 years old),and the true elderly(≥75 years old)were 3791,7850,92834,51991,37329,and 9267,respectively.The case numbers of pulmonary tuberculosis,extrapulmonary tuberculosis,other pulmonary diseases,old pulmonary tuberculosis,and lung healthy diagnosed clinically were 73806,17311,37938,25738,and 48449,respectively,accounting for 36.31%,8.52%,18.67%,12.66%,and 25.02%,respectively.Conclusion It is essential to improve thinking and measures for strengthening medical-prevention cooperation in tuberculosisprevention and control, because designated tuberculosis hospitals play an increasingly important role intuberculosis case detection, diagnosis, and treatment.