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目的分析甘肃省张掖市乡(镇)卫生院结核病痰涂片检查点(查痰点)的工作开展后结核病患者发现情况,为今后结核病防治工作计划及乡(镇)查痰点的工作计划提供依据。方法分析张掖市6个县(区)的统计报表及15个乡(镇)卫生院查痰点的各项工作记录和2009—2015年开展痰涂片检查情况。结果 2009—2015年共检查肺结核病可疑症状者11 707人次,确诊涂阳肺结核病患者716例,乡(镇)查痰点涂阳检出率为6.1%,发现的涂阳患者数占全市涂阳患者数的7.5%,乡(镇)查痰点痰检标本经县级复核后,阳性、阴性符合率分别为79.0%和95.2%。结论设置乡(镇)查痰点方便了边远的农村肺结核病可疑症状者和疑似患者的就诊查痰,但发现涂阳患者效果并不理想,应根据各查痰点的不同情况,制定切实可行的措施,提高结核病患者的发现率。
Objective To analyze the detection of tuberculosis patients after tuberculosis sputum smear checkpoint (sputum smear checkpoint) in township (town) hospitals in Zhangye city of Gansu province for the future tuberculosis prevention and control work plan and township (town) sputum spot work plan in accordance with. Methods Statistical records of 6 counties (districts) in Zhangye City and records of sputum smear spots in 15 township hospitals were analyzed and sputum smear tests were carried out in 2009-2015. Results A total of 11 707 cases of suspected pulmonary tuberculosis were examined during 2009-2015. Among them, 716 cases of smear positive pulmonary tuberculosis were diagnosed, and the detection rate of smear positive smear at township (town) was 6.1%. The number of smear positive cases was found in the whole city Yang, 7.5% of the number of patients, township (town) sputum sputum examination of the county by the county review, the positive and negative coincidence rates were 79.0% and 95.2%. Conclusion The investigation of sputum in township (town) is convenient for sputum examination of suspected pulmonary tuberculosis patients and suspected patients in rural areas. However, the results of smear-positive patients are not satisfactory, and should be made according to different conditions of sputum sampling sites. Measures to improve the detection rate of TB patients.