福清市设立乡镇初筛点提高结核病人发现探讨  

Study on the adding sites at township level for screening suspects of tuberculosis to increase cases detection in Fuqing county

作　　者：陈求扬[1] 薛力 沈桂成 蔡福荣 

机构地区：[1]福建省疾病预防控制中心,福州350007 [2]福清市卫生防疫站,福清350300

出　　处：《中国防痨杂志》2004年第6期336-337,340,共3页Chinese Journal of Antituberculosis

摘　　要：目的　探讨在乡镇卫生院设立初筛点提高结核病发现率。方法　将全市 2 2个乡镇 (农场 )分成 6个初筛点 ,由其中 1个中心卫生院负责痰涂片、X线检查 ,经市 (县 )结防科定诊。结果　 2 0 0 3年 6个初筛点可疑症状者就诊率 1.93% ,查痰率 85 .8% ,涂阳病人占 6 7.2 % ,涂阳新登记率 4 0 .6 /10万 ,分别比 2 0 0 2年提高了 91.1% ,14 .4 % ,6 0 .4 % ,2 0 .1%。结论　通过乡镇初筛既可提高结核病服务的可行性 ,又能提高涂阳病例发现。Objective To pilot the adding sites at township le vel for screening suspects of tuberculosis to order to increasing case detection .Methods 6 screening sites are selected in 22 towns.One of them is charge of sputum smear and X-ray examination and the initial examination re sults will be reconfirmed by the county tuberculosis dispensary.Results In 2003,the consultation rate of TB suspects was 1.93%, sputum smear examination rate was 85.8%.The proportion of smear positive cases w as 67.2% and the notification rate of smear positive cases was 40.6/100?000.Tho se indicators were improved 91.1%, 14.4%,60.4% and 20.1% respectively compare d with that in 2002.Conclusion It is feasible that the adding sites at township lev el for screening suspects of tuberculosis and the case detection of smear positi ve cases were increased.

关 键 词：初筛 结核病 病人发现 涂阳 设立 痰涂片 病例发现 结论 乡镇 中心 

分 类 号：R52[医药卫生—内科学]