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目的总体考察非结核医疗机构对肺结核的诊断水平和结核病防治政策执行水平。方法对2010-2015年从各级非结核医疗机构转诊至我院第一门诊部的3 315例疑似肺结核患者的最后临床诊断结果按肺结核、其他肺部疾病和健康三类进行频数和相关百分构成分析。结果在3 315例肺结核可疑症状者中,肺结核、其他肺部疾病和健康诊断人数分别为2 068、598和649例,其百分构成分别为62.38%、18.04%和19.58%;在≥15岁肺结核可疑症状者人群中,青年(15~44岁)、中年(45~64岁)、老年(≥65岁)人群肺结核患者占其年龄结构人数的比例分别为72.62%、61.00%和48.58%。结论在转诊疑似肺结核患者人群中,肺结核患者比例与当地同时期结核病防治机构就诊的肺结核可疑症状者总体人群中的肺结核诊断结果的比例大致相当,说明本地区非结核医疗机构具有较高的结核病临床诊断水平,并有较好的结核病归口管理防治政策执行力。
Objective To investigate the diagnostic level of tuberculosis and the implementation of tuberculosis control policy in non-tuberculosis medical institutions. Methods The final clinical diagnosis of 3 315 cases of suspected pulmonary tuberculosis patients who were referred from the non-TB medical institutions at all levels to the first clinic of our hospital from 2010 to 2015 were divided into three groups according to the frequency of TB and other pulmonary diseases and health Sub-component analysis. Results Among 3 315 suspicious cases of tuberculosis, the number of tuberculosis, other pulmonary diseases and health diagnosis were 2 068, 598 and 649, respectively, and their percentages were 62.38%, 18.04% and 19.58%, respectively. At ≥15 years Among the population with suspicious symptoms of tuberculosis, the proportion of tuberculosis patients in their age group (15-44 years), middle age (45-64 years) and elderly (≥65 years old) were 72.62%, 61.00% and 48.58% respectively, . Conclusions The proportion of pulmonary tuberculosis patients in referral to suspected tuberculosis patients is roughly equivalent to the proportion of tuberculosis diagnosis in the general population with suspicious symptoms of tuberculosis in the same period in the local tuberculosis prevention and treatment institutions, indicating that tuberculosis Clinical diagnosis, and have a good tuberculosis control strategy implementation.