郑州市城区改变肺结核病人发现模式的效果分析

目的　评价郑州市城区肺结核病人发现模式和实施效果。方法 收集并分析2004—2006年郑州市7个区项目季报表、2000年流调资料、及有关资料。结果 用3年的时间在郑州市城区建立并完善了四级防痨网络;2004—2006年平均转诊到位率75.9%较1996—2002年平均值32.4%显著增高(P<0.01),2004—2006年初治涂阳肺结核病人发现逐年大幅度提高,平均登记率34.76/10万较1996年—2001年平均登记率3.31/10万显著升高(P<0.01)。结论 郑州市城区四级防痨网络的建立,有效提高了医疗机构肺结核病人的转诊到位率和涂阳病人的发现工作,因此如何利用现有医疗资源,提高病人的发现率,对结核病控制工作是至关重要的。

Analysis the effect of the tuberculosis case-finding mode in Zhengzhou city

Objective To analyse the effect of the tuberculosis case-finding mode in Zhengzhou city. Methods To collect and analyze the quarterly reports of the project in 7 districts from 2004 to 2006,the data of 2000 tuberculosis epidemiological survey in Zhengzhou in 2000 and other relevant materialS. Results The four-level tuberculosis control network haS been established in 3 years in the urban area of Zhengzhou city. The average success rate of referred TB patients from hospitals increased from 32.4% during 1996—2001 to 75.9% during 2004—2006(P<0.01). New notification rate of smear-positive pulmonary tuberculosis cases increased from 3.4/105 during 1996—2002 to 40.4/105 during 2004—2006. Conclusion The four-level tuberculosis control network effectively increased the case-finding rate and the referring rate in hospital. It is important to utilize the existing medical care felicities for tuberculosis control.