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目的探讨入户调查、集中推荐发现病人方式对提高肺结核病人发现的作用。方法采取政府组织、部门参与、开展健康教育,发动群众自报互报;镇村干部配合、乡村医生入户调查、登记常住人口,以当面询问与观察的方式发现线索患者,并集中推荐到指定医院初筛,疑似患者由结防机构定诊。结果成都市于2009年先后在9个区县入户登记应调查人数3 910 504人,实际调查3 817 928人,调查率97.6%,新发现活动性肺结核411例,其中新发涂阳172例,占41.8%;新发现活动性病例数与涂阳新病例数分别占同期CDC登记总病例数的23.8%和21.9%。结论适时开展入户调查集中推荐可疑者就诊是提高病人发现率的有效方法。通过入户调查、集中推荐工作的实施,有利于现代结核病控制策略落实到基层;有利于提高群众推荐可疑者、可疑者主动就诊的积极性,提高肺结核患者的发现。
Objective To investigate household surveys and to focus on recommending the ways of finding patients to improve the discovery of pulmonary tuberculosis patients. Methods Take the government organizations and departments to participate in and carry out health education to mobilize the masses to report and report to each other. With the cooperation of town and village cadres, the survey of village doctors and the registration of resident population, clues were found by face-to-face interrogation and observation, Initial screening of the hospital, suspected patients by TB endoscopy clinics. Results In 2009, Chengdu municipality registered in 9 districts and counties successively. There were 3 910 504 persons surveyed and 3 817 928 persons actually surveyed with a survey rate of 97.6%. 411 cases of newly diagnosed active tuberculosis were found, of which 172 cases , Accounting for 41.8%. The newly discovered cases of active cases and new cases of smear positive cases accounted for 23.8% and 21.9% of the total CDC cases registered in the same period. Conclusions It is an effective way to improve the detection rate of patients by launching home-based surveys to focus on recommending suspicious persons for treatment. By conducting household surveys and concentrating recommendation work, it is conducive to the implementation of modern TB control strategies to the grassroots level; it is conducive to raising the enthusiasm of the masses in recommending suspicious persons and suspicious persons and improving the findings of patients with pulmonary tuberculosis.