不同发现方式在肺结核病人发现中的作用

[目的]分析不同发现方式在肺结核病人发现中的作用.[方法]对天津市结核病控制中心门诊部2001～2004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]4年间,转诊发现可疑肺结核病人3603例,肺结核病人1381例,分别占总数的57.95%和69.05%,该方式肺结核病人检出率为38.32%.就诊方式发现可疑肺结核病人1863例,肺结核病人446例,分别占总数的29.97%和22.30%,其发现肺结核病人构成比由2001年17.84%上升至2004年的26.14%,呈逐年上升趋势.健检方式肺结核病人的检出率为41.39%,显著高于其他发现方式的检出率.[结论]综合医院转诊是病人发现的主要方式,但其检出率有待提高.健康教育在病人发现中的作用日渐突出.同时,不可忽视其他方式在病人发现中的意义.

EFFECTED ON DETECTING TUBERCULOSIS CASES WITH DIFFERENT WAYS OF TUBERCULOSIS-CASE-FINDING

[Objective] To analyze the function of the five different methods in tuberculosis-case-finding. [Methods] The data from the tuberculosis suspect cases and the active tuberculosis cases, which registered in the out-patient department of Tianjin Tuberculosis Control Center during 2001 to 2004 was collected for review research. [ Results] Based on the way of transferring, 3 603 tuberculosis suspect cases and 1 381 active pulmonary tuberculosis cases were detected during the four years, and the proportion was 57.95% and 69.05% respectively. The identification rate of transferring was 38.33%.By the symptoms of pulmonary tuberculosis, 446 active pulmonary tuberculosis cases were detected in 1863 tuberculosis suspect cases, and its proportion of discovering tuberculosis patients raised from 17.84% to 26.14% during the 4 years.The identification rate of tuberculosis patients was 41.39% in the health-check-up groups and 3.70% in tuberculosis contacts. [Conclusion] The best way for detecting pulmonary tuberculosis cases is transferring, but the identification rate of transferring needs to be raised. Health education becomes more and more important in cases discovery, and it is also significant to identify pulmonary tuberculosis by different ways.