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目的分析山西省乡镇查痰点2005年设立以来的工作开展情况以及在肺结核患者发现中的作用,为制定山西省今后结核病防治工作计划,尤其是乡镇查痰点工作计划提供依据。方法收集2005—2008年山西省乡镇查痰点设立、工作开展、经费使用等情况,并加以分析。结果2005—2008年山西省乡镇查痰点设立484个,到2008年底309个开展工作;2005—2008年,乡镇查痰点涂阳检出率为4.6%;发现的涂阳患者数占全省涂阳患者数的1.1%;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73%和91%。结论山西省乡镇查痰点设立后在患者发现方面起到了一定的作用,但效果并不理想。因此需要调整留下的查痰点应从乡级人员培训、明确乡镇查痰点职责、经费使用等方面加强监管,真正发挥乡镇查痰点的作用。
Objective To analyze the work carried out since the establishment of the sputum spot in Shanxi Province in 2005 and its role in the detection of tuberculosis patients in order to provide the basis for the future work plan of tuberculosis prevention and control in Shanxi Province, Methods The situation of setting up, working, using and using of sputum in villages and towns in Shanxi Province from 2005 to 2008 was collected and analyzed. Results In 2005-2008, 484 sputum spots were set up in villages and towns in Shanxi Province, and 309 were carried out by the end of 2008. From 2005 to 2008, the detection rate of smear-positive smear in towns and townships was 4.6% Smear-positive patients number of 1.1%; township sputum sputum test specimens by the county-level review, the positive and negative coincidence rates were 73% and 91%. Conclusion The detection of sputum in towns and villages in Shanxi Province has played a certain role in the detection of patients, but the results are not satisfactory. Therefore, the need to adjust the sputum should be left behind from the township level personnel training, a clear job of township sputum point of responsibility, the use of funds to strengthen supervision and truly play the role of township sputum point.