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目的了解2002年7月1日～2010年6月30日甘肃省张掖市实施世界银行贷款/英国赠款中国结核病控制卫十项目期间可疑肺结核病人就诊情况。方法按照世界银行贷款/英国赠款中国结核病控制卫十项目手册规定,对实施项目8年后张掖市的肺结核可疑症状者就诊情况进行分析,并用Epidata软件进行统计分析。结果 8年间,共登记接诊40 152例肺结核可疑症状者,以农村患者为多,共35 416例,占80.7%。初次诊断为结核是在县级以上综合医院的有13 592例(36.0%),在县级疾控机构的7 400例(19.6%),在乡镇卫生院的11 590例(30.7%),在私人个体诊所的5 169例(13.7%)。在结防机构就诊的7 528例(17.1%)。11 706例患者同时接受痰检和X线检查,占57.1%,仅有15518例接受过痰菌检查,占75.7%,结论项目实施后可疑结核病症状者的就诊率、痰检率得到提高,但在结核病专科门诊就诊率低,应加强管理和健康促进工作,提高可疑肺结核症状者就诊率和肺结核病人发现率。
Objective To understand the treatment of suspicious TB patients during the implementation of the World Bank-financed / UK-funded TB control ten program in Zhangye City, Gansu Province from July 1, 2002 to June 30, 2010. Methods According to the World Bank Loan / Grant Grants Handbook of TB Control Program in China, the treatment of suspicious TB symptoms in Zhangye City after 8 years of implementation was analyzed and analyzed by Epidata software. Results During the 8 years, a total of 40 152 cases of suspected pulmonary tuberculosis patients were enrolled. Among them, 35 416 cases were rural patients, accounting for 80.7%. The first diagnosis of tuberculosis was 13,592 (36.0%) in general hospitals above the county level, 7,400 (19.6%) in county-level CDC and 11,590 (30.7%) in township hospitals, 5,169 cases (13.7%) of private individual clinics. 7 528 cases (17.1%) attended the TB prevention and treatment institutions. Sputum and X-ray examination were performed in 11 706 patients, accounting for 57.1%. Only 15518 patients received sputum test, accounting for 75.7%. Conclusion The rate of visiting and sputum testing for suspected TB patients after the implementation of the project was improved. However, At the TB specialist outpatient clinic, visits should be strengthened. Management and health promotion should be stepped up to increase the referral rate of TB suspects and the detection rate of TB cases.