摘要
目的通过了解上海市闵行区结核病病例发现情况为今后进一步提高病例发现工作成效提供科学依据。方法利用闵行区2006—2010年结核病控制工作月报表和"中国疾病预防控制信息系统",分析非结核病防治(以下简称结防)机构结核病病例发现情况。结果闵行区非结防机构肺结核病病例发现以因症就诊方式为主,疑似患者仅占异影的1/10;疑似结核患者到位率由2006年的60.05%上升到2010年的87.06%,患者确诊率年均30%,不同年份到位率、确诊率之间差异有统计学意义;非结防机构中病例发现以综合医院为主,社区医院转诊到位率明显高于综合医院,但确诊率明显低于综合医院,社区医院与综合医院不同年份之间的确诊率差异均有统计学意义,均为2008年最高,2010年最低。外报病例确诊率明显高于辖区病例发现。结论为了提高闵行区结核病病例发现成效,应取消异影随访,进一步加强胸片的诊断质控,并加大定点门诊首诊减免政策的宣传力度,提高疑似患者主动至定点门诊就诊的积极性。
[ Objective] To know the detection status of tuberculosis （TB） cases in Minhang District of Shanghai, provide the scien- tific basis for improving the achievement of TB detection in the future. [ Methods] Based on TB control monthly reports in Minhang District and China Information System for Disease Control and Prevention during 2006-2010, the status of TB detection by Non-TB prevention institutions was analyzed. [ Results] The majority of detection of TB cases by Non-TB prevention institutions in Minhang District was due to symptoms, and only one tenth of individuals with abnormal pulmonary shadow were diagnosed suspected cases. The arrival rate of suspected TB patients increased from 60.05% in 2006 to 87.06% in 2010. The annual average diagnosis rate was 30% , and there were significant differences in annual arrival rate and diagnosis rate among different years. Most of TB cases were detected by general hospitals among Non-TB prevention institutions. The arrival rate of referral patients in the community hos- pitals was apparently higher than that in the general hospitals, but the diagnosis rate in the community hospitals was apparently low- er than that in the general hospitals. The differences in diagnosis rate of the community hospitals and the general hospital between different years were significant, which was the highest in 2008, while the lowest in 2010. The diagnosis rate of the suspected TB patients reported in other districts was significantly higher than that in Minhang District. [ Conclusion] In order to improve the effec- tiveness of TB detection in Minhang district, it is necessary to cancel the follow-up of abnormal pulmonary shadow, strengthen qual- ity control of chest radiography diagnosis, and enhance the publicity of first diagnosis exemption policies at designated clinics to in- crease enthusiasm of suspected cases visiting designated clinics.
出处
《职业与健康》
CAS
2012年第24期3032-3035,共4页
Occupation and Health
基金
科技部"十一五"科技重大专项课题:特大城市结核病防治模式研究(项目编号:2009 ZX 10003-017)
关键词
结核
非结防机构
转诊到位率
病例发现
Tuberculosis （ TB ）
Non-tuberculosis prevention institutions
Arrival rate of referral patients
TB detection
