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[目的]评价石家庄市提高肺结核病人发现措施的效果。[方法]对石家庄市2002～2007年结核病门诊季报资料进行分析。[结果]采取措施后肺结核病人的发现率大大提高:2003～2007年涂阳新登记率都超过了40/10万;不同的就诊方式涂阳检出率不同,转诊的涂阳检出率较其他方式高为34.3%,其次是日常推荐为20.8%、主动就诊为12.2%。[结论]加大对综合医院结核病人的报告、转诊、追踪力度和加强对乡镇基层医务人员进行结核病防治政策和防治知识的培训,来提高病人发现是行之有效的措施,并能起到事半功倍的效果。
[Objective] To evaluate the effect of improving measures to discover tuberculosis patients in Shijiazhuang. [Method] The data of quarterly report of tuberculosis clinic in Shijiazhuang from 2002 to 2007 were analyzed. [Results] The detection rate of tuberculosis patients was greatly increased after taking the measures: the new enrollment rates of smear positives exceeded 40/100 000 in 2003 ~ 2007; the detection rates of smear positive in different ways of treatment were different; Other methods were 34.3% high, followed by daily recommendations of 20.8% and active visits of 12.2%. [Conclusion] Increasing the reporting, referral and follow-up of tuberculosis patients in general hospitals and strengthening the training of tuberculosis prevention and control policies and prevention and control knowledge of grass-roots township medical workers to improve patient discovery is an effective measure and can play a role A multiplier effect.