目的　了解县级综合医院医务人员对现代结核病控制知识的掌握现况。方法　在湖南省的怀化、湘西自治州、张家界、郴州和衡阳等 5市各随机抽查 2个县级人民医院 ,采用封闭式问卷对各医院的呼吸内科、传染科、放射科和检验科各 5～ 7名医护人员进行结核病临床与诊断技术、化疗原则、DOTS策略、归口管理和政府有关法规等 9项结核病控制知识及是否接受过专业培训共 1 0个问题的调查。结果　 1 0所抽查医院共回收问卷 2 61份 ,有效问卷 2 5 4份 (97.3 % )。 9项结核病知识回答正确者仅 3 6份 (1 4.2 % ) ,且不同科室、不同职业和不同职称之间没有明显差异 ;答卷者对结核病知识的平均得分为 6.5 8± 1 .5 6分 ,其中男性高于女性 ;职称越高 ,得分越高 ;护士得分较低 ;得分与工作岗位无关 ;答卷者中仅 77人 (3 0 .3 % )接受过相关知识培训 ,结核病控制知识的知晓与专业机构培训次数呈正相关。结论　大多数县级综合医院医护人员对结核病控制知识较为欠缺 ,忽视痰涂片镜检的作用 ,对国家结核病控制规划和政府的相关法规不了解。加强综合医院医护人员有关结核病知识的培训是目前结核病控制的当务之急 Objective To understand the status of mastering modern tuberculosis control knowledge among medical personnel in county-level general hospitals. Methods Two county-level people’s hospitals were randomly selected in five cities including Huaihua, Xiangxi Autonomous Prefecture, Zhangjiajie, Luzhou, and Hengyang in Hunan Province. The closed-ended questionnaires were used for each of the hospital’s respiratory medicine, infectious diseases, radiology, and laboratory departments. Seven health care workers conducted 9 investigations on tuberculosis control knowledge and 10 professional training questions in clinical and diagnostic techniques for tuberculosis, principles of chemotherapy, DOTS strategies, centralized management, and government regulations. Results A total of 216 questionnaires were retrieved from 100 randomly selected hospitals, and 254 were valid questionnaires (97.3%). Only 9 of the 9 TB knowledge correct answers were answered (14.2%), and there were no significant differences among different departments, occupations, and job titles. The average score of TB knowledge among respondents was 6.5 8 ± 1.56. Males were higher than females; the higher the job title, the higher the score; nurses scored lower; scores had nothing to do with jobs; only 77 (30.3%) of the respondents had received relevant knowledge training, and knowledge of tuberculosis control knowledge There was a positive correlation between the number of trainings in professional institutions. Conclusion Most medical staff at county-level general hospitals lack knowledge about tuberculosis control and ignore the role of sputum smear microscopy. They do not understand the national tuberculosis control plan and the relevant government regulations. Strengthening the training of medical staff in general hospitals on tuberculosis knowledge is the current priority for tuberculosis control