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目的分析桃源县2003-2012年结核病门诊肺结核就诊率变化情况,了解肺结核发现工作动态,为今后的早期发现工作提供参考。方法收集桃源县2003-2012年结核病门诊就诊资料,进行描述性分析。结果桃源县2003-2012年结核病门诊初诊就诊共登记28 322人次。初诊肺结核可疑者年平均就诊率290.33/10万,年度可疑者就诊率由2003年的143.00/10万逐步上升到了2012年的506.38/10万。可疑者就诊人员中,共查痰25 870人,年平均痰检率91.34%;年痰检率由2003年的60.99%逐步上升到了2012年的97.85%;就诊者中诊断为活动性肺结核11 140例,活动性肺结核年平均患病率114.20/10万,年患病率由2003年的70.68/10万上升到了2012年的142.86/10万。结论加强门诊咨询、健康教育、社会动员、风险传播等工作,提高全社会对肺结核的认识水平,能提高可疑者就诊率。
Objective To analyze the change of the TB rate of tuberculosis clinics in the outpatient department of Taoyuan from 2003 to 2012, understand the work dynamics of TB detection, and provide references for the early detection in the future. Methods The data of outpatient TB clinic from 2003 to 2012 in Taoyuan County were collected and analyzed descriptively. Results A total of 28 322 visits were registered in TB clinics in Taoyuan County from 2003 to 2012. The average annual consultation rate of newly diagnosed tuberculosis suspects was 290.33 / 100,000. The number of visits for suspicious persons increased from 143.00 / 100,000 in 2003 to 506.38 / 100,000 in 2012. Among the suspicious persons who visited, 25,870 sputum were sputum, the average annual sputum rate was 91.34%; the annual sputum rate was gradually increased from 60.99% in 2003 to 97.85% in 2012; the diagnosis of active tuberculosis was 140 For example, the average annual prevalence of active tuberculosis is 114.20 / 100000, the annual prevalence increased from 70.68 / 100000 in 2003 to 142.86 / 100000 in 2012. Conclusions Stepping up consultations on outpatient services, health education, social mobilization and risk communication will raise the level of public awareness of tuberculosis in the whole society and increase the visiting rate of suspicious persons.