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目的了解肺结核患者住院期间的诊治情况和出院后的管理情况,为探索结核病专科医院与结核病防治所的合作模式提供依据。方法采取典型调查的方法选择2个省级结核病专科医院,收集2007年住院治疗的全部肺结核病患者相关信息。结果 374例住院肺结核患者主要通过X线、临床症状和CT检查诊断,查痰率低(χ2=17.7,P<0.05),其中334(89.3%)例使用了二线抗结核药,出院后仅有30(80%)例患者被转诊到结核病防治机构。结论肺结核患者住院期间诊疗不规范,出院后未得到系统的管理,政府应加大对医院的经费投入,建立结核病专科医院和当地结核病防治所的合作机制,实现优势互补。
Objective To understand the diagnosis and treatment of pulmonary tuberculosis patients during hospitalization and the management after discharge, and provide a basis for exploring the cooperation mode between TB hospital and tuberculosis prevention and treatment center. Methods A typical survey method was used to select two provincial TB hospitals to collect information on all TB patients who were hospitalized in 2007. Results 374 cases of inpatients with pulmonary tuberculosis were diagnosed mainly by X-ray, clinical symptoms and CT examination. The sputum sampling rate was low (χ2 = 17.7, P <0.05). Among them, 334 (89.3%) patients used second-line anti-tuberculosis drugs Thirty (80%) patients were referred to TB control. Conclusions The diagnosis and treatment of pulmonary tuberculosis patients during hospitalization are not standardized and have not been systematically managed after discharge. The government should increase funding for the hospital and establish a cooperation mechanism between the TB hospital and the local tuberculosis prevention and treatment center so as to realize the advantages of each other.