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目的分析实施综合措施后对肺结核患者发现的影响。方法河北省承德市1999年和2010年总人口分别为350.96万和371.91万;1999—2002年和2003—2010年登记活动性肺结核患者分别为4917例和19 772例。对比分析实施综合措施前(1999—2002年)和实施综合措施后(2003—2010年)医疗机构转诊报告、及肺结核患者发现情况。结果承德市实施综合措施后,医疗机构转诊患者数年均提高了218.81%(1546.25/485×100%-100%),转诊总体到位率由年均53.25%提高到86.89%;转诊到位诊断活动性肺结核患者占总活动性肺结核登记数由年均6.26%提高到25.21%;总初诊就诊率由年均138.81/10万提高到296.31/10万,活动性患者登记率由年均34.78/10万提高到67.90/10万,新涂阳发现率由年均40.11%(2892/7210)提高到76.94%(11 426/14 851)。结论采用医疗卫生机构与结核病防治机构合作发现肺结核患者等系列综合措施提高了承德市肺结核患者发现水平。
Objective To analyze the impact of comprehensive measures on the detection of pulmonary tuberculosis patients. Methods The total population of Chengde City in Hebei Province in 1999 and 2010 were 3.5096 million and 3.71.91 million respectively. The number of registered active tuberculosis patients in 1999-2002 and 2003-2010 was 4917 and 19 772 respectively. Compare and analyze the referral report of medical institutions before implementation of comprehensive measures (1999-2002) and implementation of comprehensive measures (2003-2010), and the findings of tuberculosis patients. Results After the comprehensive measures were implemented in Chengde city, the number of referral patients in medical institutions increased by 218.81% (1546.25 / 485 × 100% -100%) for several years and the overall referral rate increased from 53.25% to 86.89% respectively; The diagnosis of active tuberculosis patients accounted for the total number of active tuberculosis registration increased from 6.26% to 25.21% per year; the total number of first visit was increased from 138.81 / 100000 to 296.31 / 100000, the active registration rate was increased from 34.78 / The number of new smear positives increased from 40.11% (2892/7210) to 76.94% (11 426/14 851). Conclusions A series of comprehensive measures such as cooperation between medical and health institutions and TB prevention and treatment agencies to discover TB patients have raised the level of TB patients in Chengde City.