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目的分析石家庄市肺结核病人的发现方式,为改进结核病人发现措施提供依据。方法采用SPSS统计软件对石家庄市2005-2014年肺结核病人资料进行回顾性分析。结果 2005-2014年全市19个规划结核门诊共确诊登记活动性肺结核54 266人,其中因症就诊25 368人和转诊追踪22 971人分别占46.7%、42.3%,为主要的发现方式,其次为因症推荐和健康体检,分别占7.2%、2.5%。因症就诊人数有逐年下降的趋势,转诊与追踪人数逐年增高。非结防机构的大疫情报告发病率逐年升高,从2005年的34.9/10万到2015年提高到了69.8/10万,且结核病专科医院报告的人数占所有非结防机构报告人数的一半以上。结论目前因症就诊和转诊追踪已成为石家庄市结核病人发现的主要方式,今后的工作重点应在加强大众宣传的基础上,加强对非结防机构的报告和转诊工作的管理,同时加强对结核病专科医院诊治病人的管理。
Objective To analyze the ways of discovering tuberculosis patients in Shijiazhuang and provide the basis for improving the measures of finding tuberculosis patients. Methods SPSS statistical software was used to analyze the data of tuberculosis patients in Shijiazhuang from 2005 to 2014. Results From 2005 to 2014, a total of 54 266 TB cases were registered in 19 TB programs in the city, of which 25 368 were diagnosed and 46.7% and 42.3% were referred to referral and follow-up tracing of 22 971 as the main method of detection. Due to illness recommended and healthy physical examination, accounting for 7.2%, 2.5%. Due to the trend of decreasing number of visits, the number of referrals and follow-ups increased year by year. The incidence of major epidemic reports of non-TB prevention and control agencies has been increasing year by year, from 34.9 / 100000 in 2005 to 69.8 / 100000 in 2015, and TB hospitals report more than half of the reports of all non-TB prevention and control agencies . Conclusions At present, symptom seeking and referral tracking have become the main methods found by TB patients in Shijiazhuang City. The focus of future work should be to strengthen the public awareness and strengthen the management of the report and referral of non-prevention agencies. Management of patients in TB hospitals.