2010-2015年广州市越秀区肺结核可疑症状者病例来源分析

目的 根据结核病防治机构肺结核可疑症状者病例来源评价区域性结核病防治健康促进效果.方法 查阅本院第一门诊部2010-2015年广州市结核病控制项目初诊患者登记本资料,回顾性分析病例来源,因症就诊、转诊、追踪、因症推荐、接触者检查、健康体检、其它等肺结核可疑症状者的百分构成及其与年龄、性别的相关性.结果 在6 154例肺结核可疑病状者中,按百分构成排列其顺位为转诊、因症就诊、追踪、其它、接触者检查、健康体检和因症推荐,分别占病例总数的54.42％、41.03％、2.18％、1.59％、0.47％、0.24％和0.19％.老年(≥65岁)、中年(45～64岁)、青年(15～44岁)人群中,无论男女,其病例来源构成与总体较为一致.但在＜ 15岁少年组中,男、女的因症就诊病例均显著多于转诊病例,分别为71.43％vs.14.29％、75.00％vs.16.67％.结论 转诊、因症就诊为广州市越秀区结核病防治机构肺结核可疑症状者的主要病例来源,结核病防治健康促进工作有待加强.

Sources of cases with suspicious symptoms of pulmonary tuberculosis at Yuexiu District,Guangzhou during 2010-2015

Objective To evaluate the effect of TB health promotion in the area according the sources of cases with suspicious symptoms of pulmonary tuberculosis from TB prevention and control institution.Methods The register data of the new patients of TB control project of Guangzhou during 2010-2015 from the first outpatient department at our hospital were consulted.The percentages of the ways (seeing a doctor because of the suspicious symptoms of pulmonary tuberculosis,referral from general hospital,case tracing,recommendation by medical staff of primary health care institutions for the suspicious symptoms of pulmonary tuberculosis,checking contact person,physical examination,and others) finding out the suspicious symptoms of pulmonary tuberculosis in the patients were retrospectively analyzed and their correlation with age and gender was analyzed.Results Among the 6 154 patients with suspicious symptoms of pulmonary tuberculosis,54.42％ were found out through referral from general hospital,41.03％ seeing a doctor because of the suspicious symptoms of pulmonary tuberculosis,2.18％ case tracing,1.59％ others,0.47％ checking contact person,0.24％ physical examination,and 0.19％ recommendation by medical staff of primary health care institutions for the suspicious symptoms of pulmonary tuberculosis.There were coincidences in gender proportion and case resource proportion in people ＞65 years old,45-64 years old,and 15-44 years old.However,in people ＜15 years old,more patients were found out by seeing a doctor because of the suspicious symptoms of pulmonary tuberculosis than by referral from general hospital in both male and female (71.43％ vs.14.29％ and 75.00％ vs.16.67％).Conclusions Most patients with suspicious symptoms of pulmonary tuberculosis at tuberculosis prevention institution at Yuexiu Distirct,Guangzhou are found out by seeing a doctor because of the suspicious symptoms of pulmonary tuberculosis and referral from general hospital.It is essential to strengthen TB health promotion.