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[目的]为规范结核病防治工作管理技术操作,提高工作质量。[方法]2007年8~9月,在龙岩市各县(市、区)开展结核病项目工作督导检查。[结果]2007年1~8月,全市初诊结核病病人4 855例,就诊率为1.67‰。就诊病人中,胸片拍摄率为94.50%,查痰率为99.07%,痰菌检出率为15.57%(749/4 810)。抽检150例病人,未按时痰检者占16.52%,定性错误的占1.32%,定量错误的占4.50%。抽查150例,38例不规则治疗,不规则治疗因毒副反应、死亡占47.37%,人为因素占52.63%。[结论]结核病防治工作存在不规范操作。
[Objective] To standardize the technical operation of tuberculosis prevention and control work and improve the quality of work. [Method] From August to September 2007, TB work in all counties (cities and districts) in Longyan City was supervised and inspected. [Results] From January to August 2007, there were 4 855 newly diagnosed TB patients in the city, the visiting rate was 1.67 ‰. Visits to patients, chest radiography 94.5%, sputum sampling rate was 99.07%, sputum bacteria detection rate was 15.57% (749/4 810). Sampling 150 patients, sputum on time did not make up 16.52%, qualitative error accounted for 1.32%, quantitative error accounted for 4.50%. A random sample of 150 cases, 38 cases of irregular treatment, irregular treatment due to side effects, death accounted for 47.37%, human factors accounted for 52.63%. [Conclusion] The tuberculosis prevention and control work has irregular operation.