集中推荐发现病人在结核病控制工作中的作用研究

目的评价集中推荐发现病人的方式在结核病控制工作中的可行性和作用，从而制定出完善的、规范的集中推荐发现方式工作流程，使集中推荐发现方式更加科学化、制度化和规范化。方法按照统一设计的7种可疑肺结核线索对象标准，采取“村医生入户调查、乡卫生院胸透初筛、市结防所集中定诊”的集中推荐发现新涂阳肺结核病人。结果采用严格的集中推荐方法，利用3个月时间，在总人口755944人的县级市发现活动性肺结核病人166例，其中新涂阳肺结核病人86例；可疑线索对象中以咳嗽、咯痰≥3周或咯血或痰中带血者的结核病人检出率最高，为13．0％，其中新涂阳肺结核的检出率为7．6％。结论采取村医生入户调查、乡卫生院胸透初筛、市结防所集中定诊的集中推荐方式，不仅是提高新涂阳肺结核病人发现率的一种有效的方法，也是开展结核病健康促进活动的一种有效形式。

The study of effect mass recommendation of suspects on tuberculosis control

Objective To assess the feasibility and impact of mass recommendation for case detection so as to develop standard working procedure for case detection through mass recommendation of suspects. Method Following the 7 criteria as clue to detect TB suspects, new smear-positive TB cases were detected through mass recommendation of indoor investigation by village doctors, fluoroscopy screening in township hospitals and diagnosis in city TB dispensary. Result During the three months of the study 166 active TB cases was detected by mass recommendation out of the total city population of 755 944, including 86 smear positive cases. The screeningrate of suspects with cough, cough with sputum or cough with blood was highest to 13%, and the rate for new smear positive TB patients was 7.6%. Conclusion The approach of mass recommendation through indoor investigation by village doctors, fluoroscopy screening in township hospitals and diagnosis in city TB dispensary is not only an effective method to increase case detection but also an effective approach for health promotion activities.