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目的分析辽宁省2010-2014年肺结核病患者就诊情况和发现方式,为今后辽宁省结核病防治政策和策略的制定提供理论依据。方法对结核病管理信息系统中2010-2014年辽宁省结核病人相关数据进行分析。结果2010-2014年我省结核病管理信息系统报告初诊人数669 951人,平均年就诊率为305.54/10万,平均查痰率46.13%。2010-2014年辽宁省共发现肺结核病人122 347例。其中,因症就诊发现患者数为76 146例,转诊方式发现患者25 014例,因症就诊方式发现病人比例从2010(56.13%)到2014(64.01%)年呈现上升趋势,差异有统计学意义(χ2趋势=422.87,P<0.001)。结论辽宁省肺结核患者的主要发现方法为因症就诊和转诊,需加强医防合作工作,并进一步开展结核病宣传教育工作,提高病人发现水平,保持结核菌痰检实验室工作质量并提高初诊查痰率。
Objective To analyze the treatment and finding ways of TB patients from 2010 to 2014 in Liaoning Province and to provide a theoretical basis for the future formulation of TB prevention and control policies and strategies in Liaoning Province. Methods The data of tuberculosis patients in Liaoning Province from 2010 to 2014 in tuberculosis management information system were analyzed. Results The number of newly diagnosed tuberculosis management information system in our province from 2010 to 2014 was 669,951, with an average annual visiting rate of 305.54 / 100,000 and an average sputum rate of 46.13%. Between 2010 and 2014, a total of 122 347 pulmonary tuberculosis cases were found in Liaoning Province. Among them, 76 146 cases were found due to illness visits and 25 014 cases were found by referral methods. The proportion of patients found from 2010 to 2014 (64.01%) showed an upward trend due to the way of treatment, the difference was statistically significant Significance (χ2 trend = 422.87, P <0.001). Conclusion The main finding method for TB patients in Liaoning Province is treatment and referral due to illness, so it is necessary to strengthen cooperation in medical prevention and prevention work and to further carry out publicity and education on tuberculosis so as to improve the level of patient discovery, maintain the quality of TB sputum testing laboratory and improve the initial diagnosis Phlegm rate.