龙岩市乡镇卫生院结核病痰涂片检查点设置情况分析  

Analysis on Situation of Sputum Smear Testing Sites at Countryside Hospitals in Longyan City

作　　者：饶佩琳[1] 曾水生[1] 郑建莉[1] 

机构地区：[1]福建省龙岩市疾病预防控制中心,福建龙岩364000

出　　处：《预防医学论坛》2006年第5期611-613,共3页Preventive Medicine Tribune

摘　　要：[目的]在乡(镇)设置痰涂片检查点,为疑似肺结核病人及肺结核病人提供就近、方便的治疗、及早地发现传染性结核病人,扩大寻找传染源范围,使更多结核病人及时发现,并得到就诊。[方法]按乡(镇)数设置1/3痰涂片检查点。龙岩市共有134个乡,设置42个痰涂片检查点。[结果]42个痰涂片检查点中有24个中心卫生院,18个普通卫生院,痰涂片检查点覆盖人数最多的乡(镇)为长汀县河田镇,覆盖人数67 970人,覆盖人数最少永定县洪山乡,覆盖人数为7 891人。路程距县结防机构最近的乡(镇)是武平县中山乡11 km,距县结防机构最远的乡(镇)是上杭县古田镇64km。痰涂片检查点覆盖村数最多的是长汀县濯田镇40个村,覆盖村数最少的是永定县坎市镇7个村。[结论]42个痰涂片检查点的设置,反应了部分县(市、区),在设置痰涂片检查点中,过多考虑覆盖人口密集的乡(镇),而忽略边远山区人口分散、贫困、交通不便、缺医少药的乡(镇)。痰涂片检查点的合理设置,能使基层卫生网络在结核病防治工作中充分发挥作用。[Objective]To set up sputum smear testing sites in countryside hospitals for tuberculosis （TB） and borderline cases,in order to discover and treat patients in time. [Methods]42 sputum smear testing sites were set up among 134 townships. [Results]Sputum smear testing sites distributed in 24 central hospitals and 18 general hospitals,one which covered the most population （67 970） was at Hetian township Changting county,one covered the least population （7 891） at Hongshan township Yongding county, and the site at Zhongshan township Wuping county was nearest （11 kin） to county center for TB control while Kanshi township Yongding county, the farthest one （64 km）, the site at Zhaitian township Changting county covered the most villages （40） while Kanshi township Yongding county covered the least （7）. [Conclusion]The setup of sputum smear testing sites showed that some counties only consider the populous townships but ignore the out-of-the-way,poor and underpopulated ones. Only the reasonable setup of sputum smear testing sites could let the base health network show its good effect in TB control and prevention.

关 键 词：乡(镇) 痰涂片检查点 设置 

分 类 号：R521[医药卫生—内科学]