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[目的]了解太原市村医对结核病防治知识的知晓情况及其在接诊结核病人时的医疗行为。[方法]2008年4~6月,对太原市所属10个县(市、区)部分从事传染病防治工作的村医进行调查。[结果]调查762名村医,70.34%知道咳嗽、咳痰2~3周以上有可能是肺结核,61.67%认为预防控制肺结核最有效的措施是早发现、早治疗,仅有11.02%知道肺结核病人正规治疗2~3周后一般就没有传染性了,26.37%知道在疾病预防控制中心结核病防治科获取的抗结核药物是免费的,52.52%认为监督病人服药有困难。36.35%发现过可疑肺结核病人,其中85.56%对病人进行了登记,67.58%将其转诊。66.53%在过去1年进行了形式多样的结核病防治宣传活动。[结论]太原市村医对现代肺结核病策略、国家结核病防治政策等知识掌握不够,在参与对病人的管理方面积极性不高。
[Objective] To understand the village doctors’ awareness of tuberculosis prevention and control and their medical behaviors during the interview of tuberculosis patients in Taiyuan. [Method] From April to June 2008, village doctors who were engaged in the prevention and control of infectious diseases in 10 counties (cities and districts) under the jurisdiction of Taiyuan City were investigated. [Results] 762 village doctors surveyed, 70.34% knew that cough and expectoration were more than 2 ~ 3 weeks later, and 61.67% thought that the most effective measures to prevent and control tuberculosis were early detection and early treatment, and only 11.02% knew that tuberculosis patients 26.37% knew that the anti-tuberculosis drugs obtained from the TB prevention and treatment section of the CDC were free of charge, while 52.52% thought it was difficult to supervise the patient’s medication. 36.35% found suspicious TB patients, of which 85.56% were registered with the patients and 67.58% referred to them. 66.53% In the past year, a variety of tuberculosis prevention and awareness campaigns have been conducted. [Conclusion] The village doctors in Taiyuan have not enough knowledge of modern tuberculosis strategy and national tuberculosis prevention policy, and they are not active in participating in the management of patients.