2002-2007年石家庄市肺结核病人不同发现方式效果分析

目的通过2002年以来石家庄市肺结核病人不同来源发现的分析。方法对2002～2007结核病季报、月报表、追踪到位本进行总结分析。结果全市共接诊可疑肺结核症状者147935例，发现活动性肺结核病人27791例，活动性肺结核新登记率由2002年的29．92／10万提高到2007年的60．23／10万，涂阳登记率由2002年24．52／10万上升至2007年的38．99／10万。从2004年至2007年肺结核病人到位率由55．20％上升到80．09％。因症就诊占62．87％，综合医院转诊占12．21％。结论因症就诊和医院转诊是结核病人发现的主要方式。石家庄市病人发现呈稳步上升，转诊工作有所加强，病人追踪有待提高。

The effect analysis of the different case-finding ways to the pulmonary tuberculosis patients in Shijiazhuang from 2002 to 2007

Objective To explore effective methods on the tuberculosis （TB） control through evaluating the effects of the different case-finding ways to the pulmonary TB （P-TB） patients in Shijiazhuang since 2002. Methods The data of TB patients were analyzed based on monthly or by season and book of case-tracing documents. Results 147935 cases of suspected P-TB patients in the whole city participated in the study. 27791 cases of the active P-TB patients were detected. The new case registration rates of the active P-TB patients increased from 29. 92/105 in 2002 to 60.23/105 in 2007. The registration rates of smear-positive P-TB patients increased from 24. 52/105 in 2002 to 38.99/105 in 2007. The case-arriving rates of P-TB rose from 55.20% in 2004 to 80. 09% in 2007. The proportions of the pulmonary TB patients seeking medical advice and transferring from health institution were 62. 87% and 12.21% respectively. Conclusion The method used in the study is a main one in detecting pulmonary TB patients seeking medical advice and transferring from health institution. The work of case-finding and case-refering has been improved gradually. The case-tracing work needs enhancing.