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[目的]了解沈阳市结核病专科医院在肺结核病患者的发现、报告以及治疗的现状,为开展结核病专科医院与结核病防治机构合作提供依据。[方法]设计统一的调查问卷,对在专科医院住院及已出院的肺结核病患者进行调查,了解住院期间和出院后的登记和治疗转归情况。[结果]实际调查150例病人,登记及报告率均为100%。报告的150例中完成随访调查的为135例(90%)。135例病人最后完成治疗的为92例(68.2%)。93例涂阳病人中,有2、5、6或2、5、8痰结果的为6例(6.5%)。[结论]结核病专科医院建立了较为完善的登记报告制度,执行较好;但病人出院后疏于管理,导致有治愈结果的病例只有6.5%,提示加强医防合作,完善病人出院后的治疗管理是非常必要和迫切。
[Objective] To understand the current situation of the discovery, report and treatment of tuberculosis patients in Shenyang TB Hospital and provide basis for the cooperation between TB hospital and tuberculosis prevention and treatment institutions. [Methods] To design a unified questionnaire to investigate patients with pulmonary tuberculosis who have been hospitalized or discharged from special hospitals and to find out the status of registration and treatment after hospitalization and after discharge. [Results] The actual survey of 150 patients, registration and reporting rates were 100%. Of the 150 reported cases, 135 (90%) completed the follow-up survey. The final treatment of 135 patients was 92 (68.2%). Of the 93 smear-positive patients, 6 (6.5%) had sputum findings of 2,5,6 or 2,5,8. [Conclusion] The TB hospital established a relatively perfect registration and reporting system and performed well. However, patients were negligently discharged after discharge, resulting in only 6.5% of the cases with the results of the cure, suggesting that strengthening the medical and drug cooperation and improving the patient management after discharge It is very necessary and urgent.