第四次流调中采纳的两项提高涂阳病人发现措施的结果分析

Analysis on the results of the adding two approaches for increasing case-finding for smear positive cases in the 4th nationwide TB survey

目的 评价第四次全国结核病流行病学抽样调查采纳的 2项提高涂阳病人发现措施的效果。方法 对流调实验对象的检查结果进行分析。结果 第四次流调检查方法中由于增加了 2项措施 ,与传统流调方法相比 ,多检出 11.8%的涂阳病人 ,其中 4 4.7%归因于有肺结核可疑症状者查痰这一措施 ,5 5 .3%归因于多查的第三个痰标本。多检出的涂阳病人中 ,83.0 %为肺结核可疑症状者 ,17.0 %为非肺结核可疑症状者。结论 肺结核可疑症状者是病人发现工作的重点对象。

Objective To evaluate the effect of the adding two approaches for increasing case finding for smear positive cases in the 4th Nationwide TB Survey.Methods To analye the examine results of the actual investigation population.Results The 4th TB survey detected more 11.8% smear positive cases for the adding two approaches.44.7% attributed to the approach of TB symptomatic received smear examination directly,17% attributed to the approach of the adding the 3rd sputum specimens for examination.Among the adding detected smear positive cases,83% was TB symptomatic and 17% was non TB symptomatic.Conclusion TB symptomatic is the major objects for case finding.