吉林省长春市朝阳区结核病人发现模式初探

目的抓住提高就诊率、确诊率和网络直报追踪到位率三个环节,提高肺结核病人发现率。方法通过全面推行结核病控制策略(DOTS),充分发挥结防所作用,与综合性医院配合协作,政府职能部门督导,三位一体,各尽其责,做好病人发现工作。结果朝阳区自项目实施以来,发现新发涂阳登记率2002年20.48/10万、2003年24.75/10万、2004年42.65/10万。2004年实施朝阳区结核病人发现模式研究项目以来,新发现涂阳274例,项目任务数254例,完成率107.87%。结论加强结防所、综合性医院、卫生行政部门三位一体协作,采取综合性措施后,切实有效地提高了病人的发现率,因此,充分发挥各自职能,共享医院资源,有效提高就诊率,提高确诊率和网络直报追踪到位率是做好结核病控制工作最为有效途径。

Detection and Management of Patients with Pulmonary Tuberculosis in the Chaoyang Urban Zone Area of Changchun City

Objective This study was designed to analyze the visiting rate, confirmed diagnostic rate and the tracking readiness rate of network direct report system in the city of Changchun city of 2003 and 2004 so as to explore the effectiveness of control strategies which primarily aimed at improving the detective rate of patients with pulmonary tuberculosis. Methods Statistical analysis was utilized in terms of visiting patients in chaoyang prevention and cure research institute of tuberculosis in changchun city and those detected by network direct report system in general hospitals. Results The registration rate of positive smear among the newly infected ascended from 24.75/lakh of 2003 to 42.65/lakh of 2004 after tuberculosis control project had been implemented, with a rise of 17.9/lakh; Since the research program of detection model for patients with tuberculosis in Chaoyang district was founded in 2004, there has been 274 cases of new onset with positive smear, showing an increase of cases compared with the previous year. Conclusion By strengthening the triple coordination between the prevention and cure research institute of tuberculosis, general hospitals and official departments for sanitation, individual function will be exploited sufficiently. Besides, improving the visiting rate, confirmed diagnostic rate and the tracking readiness rate of direct network direct report system are is the most effective pathway to better prevention and cure work treatment against tuberculosis.