宁波市1996～2004年结核病痰涂片质控分析  

Quality Control Analysis in Examination of Sputum Smear of Tuberculosis Patients During 1996～2000 in Ningbo

作　　者：易波[1] 杨薇娜[1] 

机构地区：[1]宁波市疾病预防控制中心结防所,浙江宁波315010

出　　处：《实用预防医学》2006年第4期888-889,共2页Practical Preventive Medicine

摘　　要：目的 探讨宁波市加强痰涂片质量保证提高发现结核病传染源。方法 宁波市1996～2004年结核病人年报表按涂阳新登记对7个县（市）、区设在综合性医院，有5个县（市）、区设在疾病预防控制中心报告单位统计分析。结果 1996～2004年痰涂片质控抽查，平均阳性符合率略低于卫生部室间质控≥98％的标准，阴性符合率符合卫生部室间质控≥96％的标准，质控质量总体呈上升趋势。9年间发现19768例结核病人，涂阳病人8317例。其中综合性医院发现涂阳病人3974例占47．8％，疾控中心发现涂阳病人4343例占52．2％。结论 加强痰涂片质量控制，是提高发现结核病传染源的保证。痰检工作需领导重视，加强措施，固定人员，加强业务培训，抓痰检质控，保证检出率，达到高发现传染源的目的。Objective To strengthen the quality control in detection of tuberculosis bacillus from sputum smear and to promote the finding of infectious sources. Methods According the data from 7 counties （cities or districts） performed in general hospitals and .5 counties （cities or districts） in center of disease control and prevention, annual reports of smear positive case were statistics analyzed from 1996 to 2004. Result From 1996 to 2004, average positive rate was slightly below the quality control standard of≥98, but the average negative rate accorded with quality control standard of ≥96, quality control was improved in general. Altogether 19,768 tuberculosis patients within the 9 years found 8,317 sputum smear positive, cases discovered from general hospital were 3,974 and accounted for 47.8 %, CDC discovered 4,343 cases and accounted for .52.2 %. Conclusion To enhance the quality control of sputum smear examination is very important for discovering tuberculosis sources. We should pay attention to sputum smear examining work, improving the management, guaranteeing the detection rate examination, achieving the goal of discovery of infectious source.

关 键 词：结核 痰检 质量控制 

分 类 号：R52[医药卫生—内科学]