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目的:探讨在综合性医院设立结核门诊对提高结核病发现率的作用。方法:选取具有足够条件设立结核病门诊的综合性医院作为研究对象,在该院设立结核病门诊,组建专门的痰培养检查室,对可疑肺结核患者进行痰涂片、痰培养检查,统计结核病门诊设立后1年与设立前1年内该院对可疑肺结核患者查痰情况、转诊情况进行比较。结果:设立结核病门诊后该院发现可疑结核病患者328例,对可疑结核病患者进行痰涂片、痰培养检查206例,达到62.8%;其中痰涂片阳性56例,查痰阳性率26.9%;186例患者转诊,转诊率为56.7%。设立结核病门诊之前,发现可疑结核病患者人数为218例,其中痰涂片、痰培养检查96例,占44.0%;痰涂片阳性22例,查痰阳性率为22.9%;转诊患者78例,转诊率为35.8%。结论:在综合医院设立结核门诊,可以提高患者结核病的发现,在结核病的预防与控制工作中具有重要意义。
Objective: To explore the role of establishing TB clinics in general hospitals to improve the detection rate of tuberculosis. Methods: A comprehensive hospital with sufficient conditions to set up a TB clinic was selected as the research object. A TB clinic was set up in the hospital and a special sputum culture examination room was set up. Sputum smear and sputum culture tests were carried out on suspected TB patients. After statistics, TB clinics were established 1 year and the establishment of the hospital within 1 year before the suspicious pulmonary tuberculosis sputum situation, referral situation were compared. Results: After TB clinic was set up, 328 cases of suspected tuberculosis were found in the hospital, 206 cases of sputum smear and sputum culture were detected in 62 cases of suspected TB patients, accounting for 62.8%. Among them, 56 cases were sputum smear positive and the sputum positive rate was 26.9%. 186 Cases were referred, the referral rate was 56.7%. Before the establishment of tuberculosis clinic, the number of suspicious TB patients was 218, of which 96 were sputum smear and sputum culture examination, accounting for 44.0%; 22 were positive sputum smear and 22.9% were sputum smear positive; 78 were referred to the hospital, Referral rate was 35.8%. Conclusion: The establishment of tuberculosis clinics in general hospitals can improve the detection of tuberculosis in patients and is of great significance in the prevention and control of tuberculosis.