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目的探索在H IV高疫情地区肺结核与H IV/AIDS并发的监测方法。方法选择3家结核病防治机构和3家艾滋病防治机构,对肺结核与H IV/AIDS并发的监测方法进行探讨。结果在结核病防治机构确诊的活动性肺结核病人中,82.9%0的病人都能得到艾滋病抗体的初筛检查;如果艾滋病防治机构和结核病防治机构都在疾病预防控制中心一个单位内,在艾滋病防治机构就诊的H IV/AIDS病人中86.6%都能接受结核病检查,否则病人很难到结核病防治机构接受结核病检查。结论在H IV高疫情地区,利用为肺结核病人检查肝功抽取的血样,直接在具备H IV初筛条件的结核病防治机构或者在同一个单位的艾滋病防治机构,对所有的肺结核病人进行H IV初筛检查是可行的;如果关于艾滋病防治机构与结核病防治机构不在同一个单位内,多数病人不愿意按照医生的建议到结核病防治机构进行检查;但如果结核病防治机构和艾滋病防治机构在同一单位内,多数病人能够接受与结核病相关的免费检查。
Objective To explore the monitoring methods of pulmonary tuberculosis and H IV / AIDS complicated with high incidence in H IV. Methods Three TB prevention and treatment institutions and three AIDS prevention and treatment institutions were selected to explore the surveillance methods for the concurrent pulmonary tuberculosis and H IV / AIDS. Results 82.9% of the patients with active tuberculosis confirmed by the TB control institution were able to get the AIDS screening test. If both the AIDS prevention and treatment facilities and the tuberculosis prevention and treatment center were located in one unit of the CDC, 86.6% of the H IV / AIDS patients admitted to the hospital can be tested for tuberculosis, otherwise, it is very difficult for the patient to go to the tuberculosis control unit for tuberculosis examination. Conclusions In the high H IV epidemic area, blood samples drawn from patients with pulmonary tuberculosis for examination of liver function were collected directly from all TB patients at the TB control unit with H IV screening conditions or at the same AIDS prevention and treatment unit Screening test is feasible; if the AIDS prevention and treatment agencies and TB control agencies are not in the same unit, most patients are reluctant to follow the doctor’s advice to the TB prevention and control agencies to conduct inspections; but if the TB prevention and treatment agencies and AIDS prevention agencies in the same unit, Most patients are able to receive free tests related to tuberculosis.