2005--2006年六安市裕安区肺结核病人调查

收集六安市裕安区2005—2006年初诊病人及登记肺结核病人相关数据，并进行统计分析，为实施国家结核病控制DOTS策略提供依据。可疑病人就诊率1．86‰，新涂阳登记率41．98／10万，新涂阳病人发现率71．79％，痰涂片阳性检出率41．72％，涂阳病例初复比3．59：1。病人初诊来源以就诊、转诊和日常推荐为主，分别占登记病例的49．55％、35．36％和8．45％，其中转诊人数2006年明显高~2005年。可见，加强农村地区结核病防治宣传力度，提高医疗机构结核病转诊率，是做好病人发现工作的重点。

Condition about pulmonary tuberculosis case finding at Yu''''an district in Lu''''an City from 2005 to 2006

In order to provide the basis for implementing the DOTS strategy for national tuberculosis （TB） control, the data about first--visit and registered pulmonary tuberculosis patients at Yu＇an district in Lu＇an city from 2005 to 2006 was analyzed. The visit--rate of suspect patients was 1.86% and new case registration rate of smear positive TB cases was 41.98/100 000. The case finding rate of new smear positive TB cases was 71.79% and the detection rate of sputum smear positive TB cases was 41. 72%. The ratio between the curative rate of the initial treatment and the re--treatment positive was 3. 59 ＂. 1. The main resource of first--visit cases came from visit, referral cases and daily recommendation, and the proportion was 49. 55%, 35.36% and 8.45%, respectively. The number of transfer cases in 2006 was obvious higher than that in 2005. In the work of case finding, it is very important and necessary to reinforce publicity about TB prevention and control in rural areas and improve the rate of referral eases among the medical organizations.