综合措施对肺结核病人发现率影响

刘勋; 张险峰; 叶建君; 熊昌富; 杨成凤; 李爱国

doi:10.11847/zgggws2007-23-06-38

综合措施对肺结核病人发现率影响

Improvement of tuberculosis case detection through integrated measures

摘要

摘要: 目的探讨提高肺结核可疑症状者就诊率的方法,有效提高肺结核病人发现率。方法2005年6月~2006年5月,在湖北省60个县(市、区)实施题为“采取综合措施提高病人发现率”的“运用当地自发的有创意的方法推广全程督导下直接化疗(DOTS)策略,以终止结核病的肆虐”(FIDELIS)结核病控制项目;采用SAS 8.1软件进行统计分析。结果60个项目县(市、区)共登记肺结核可疑症状者84 860例,发现涂阳肺结核21 959例,其中新涂阳肺结核18 455例,肺结核可疑症状者就诊率、涂阳登记率和新涂阳登记率分别为237.1/10万,61.3/10万和51.6/10万,较项目实施前(2004年)均有明显提高(χ₁²=1112.0,P<0.01;χ₂²=12.4,P<0.01;χ₃²=16.0,P<0.01)。结论采取综合措施是提高肺结核可疑症状者就诊率和肺结核病人发现率的有效方法。

Abstract: ObjectiveTo increase consultation rate of Tuberculosis(TB)suspects and TB case detection rate.Methods FIDELIS(Fund for Innovative DOTS Expansion through Local Initiatives to Stop TB)project was implemented in 60 counties from June 2005 to May,2006.SAS 8.1 software was adopted.Results84 860 TB suspects were enrolled in 60 counties and 21 959 smear-positive were detected,among which,18 455 were new smear-positive TB cases.The total consulting rate(237.1/100 000),total smear-positive registration rate(61.3/100 000)and total new smear-positive registration rate (51.6/100 000)were significantly higher than those of 2004(χ₁²=1112.0,P<0.01;χ₂²=12.4,P<0.01;χ₃²=16.0,P<0.01).ConclusionIt was effective to increase consultation rate of TB suspects and TB case detection rate through integrated measures.

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