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目的了解肺结核可疑症状者在县级及乡镇的就诊情况。方法在贵州省的8个乡镇选取150例肺结核可疑症状者进行问卷调查。结果到县级就诊“治疗的机会成本”是到乡镇的16.8倍,58.7%的可疑症状者选择基层医疗机构作为首诊单位,首诊延迟的患者占44.7%;只有30.7%的结核病人初次诊断在县级结防机构,16.7%的结核病人诊断延迟;在乡镇就诊的可疑症状者平均花费为149.13元,接受痰菌检查者占67.9%。结论乡镇查痰点方便病人就诊,但乡镇卫生院诊断水平相对低。非结防机构对肺结核病人的确诊延迟情况严重。
Objective To understand the symptoms of tuberculosis at the county level and township visits. Methods One hundred and fifty cases of suspected tuberculosis were selected from 8 townships in Guizhou Province for questionnaire survey. The results showed that the “opportunity cost of treatment” was 16.8 times that of the township, and 58.7% of the patients with suspected symptoms chose primary medical institutions as the first diagnosis unit, with 44.7% of the first diagnosis delayed patients; only 30.7% of the TB patients Initial diagnosis At county-level prevention and treatment agencies, 16.7% of tuberculosis patients have a delayed diagnosis; the average cost of suspicious symptoms attending township hospitals was 149.13 yuan, accounting for 67.9% of those who received sputum tests. Conclusion Township sputum check point to facilitate patient treatment, but the diagnosis of township hospitals is relatively low. Non-TB prevention and treatment of tuberculosis patients diagnosed with a serious delay.