论文部分内容阅读
目的分析四川省藏区若尔盖县及其不同区的肺结核病人发现水平,并讨论影响病人发现的相关因素。方法利用初诊病人登记表和初诊病人问卷调查表,对获取的信息运用聚类分析、方差分析和χ2检验等统计学方法进行分析。结果2003年7月7日至2004年7月6日若尔盖县结核病初诊病人就诊率7.10‰,肺结核病登记率220.7/10万,以县城为中心的区(多玛区)和半农半牧区(铁布区、巴西区)的病人发现水平高于牧区(唐克区、纳摩区)。铁布区和多玛区初诊病人的首诊医生为结防医生的比例高于其他区,分别为16.7%和22.6%,并且铁布区的初诊病人对结核病的了解情况好于其他各区。结论政府重视、广泛的健康教育和提高卫生服务的地理可及性是提高结核病人发现水平的关键。
Objective To analyze the level of pulmonary tuberculosis found in Zoige County and its different districts in the Tibetan area of Sichuan Province and to discuss the relevant factors affecting the patients’ findings. Methods Using the newly diagnosed patient registration form and newly diagnosed patients questionnaire, the obtained information was analyzed by using statistical methods such as cluster analysis, analysis of variance and χ2 test. Results From July 7, 2003 to July 6, 2004, the treatment rate of newly diagnosed tuberculosis patients in Zoige County was 7.10 ‰, and the TB registration rate was 220.7 / 100 000. The districts with central county (Doma District) and semi-agricultural and semi-pastoral areas Tiebu area, Brazil area) patients found higher than the pastoral areas (Tangke District, Namo area). The prevalence rates of first visit doctors in the Tiebu district and the Somma district were 16.7% and 22.6% respectively, and the newly diagnosed TB patients in Tiebu district had a better understanding of tuberculosis than other districts. Conclusion The government’s emphasis on extensive health education and improving the geographical accessibility of health services are key to raising the level of TB patients’ detection.