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目的通过对石家庄市乡级结核病痰涂片检查点工作开展的情况分析,来评价乡级查痰点在推动结防工作、提高肺结核病人发现、方便患者就诊等方面的效果。方法对全市75个乡级查痰点的基本情况、2006—2008年的工作开展情况、痰菌检查结果进行描述性分析。结果乡级查痰点共有专业人员75人,全部为兼职人员。2006、2007、2008年对可疑者痰菌检查分别为4344、7925、6906人份;发现涂阳病人41、19、23例,阳性检出率分别为0.94%、0.24%、0.33%。2006年75个乡级查痰点全部正常开展工作,2007、2008年分别有4个和7个查痰点未正常开展工作。乡查痰点发放补助160218元,平均发现1例涂阳病人投入1930元。结论乡查痰点在提高病人发现上效果不太理想,投入大,产出小。目前在乡镇卫生院设置查痰点,无论是在人员、房屋设置,还是设备等软硬件配备上都不适宜。
Objective To analyze the situation of sputum smear checkpoint of township TB in Shijiazhuang City to evaluate the effect of township sputum spot checking in promoting the prevention and treatment work, improving the detection of tuberculosis patients and facilitating the treatment of patients. Methods The basic situation of sputum spots in 75 townships in the city, the work carried out in 2006-2008, the sputum test results were descriptively analyzed. Results township sputum point a total of 75 professionals, all part-time staff. In 2006, 2007 and 2008, 4344,7925 and 6,906 sputum bacteria were detected in suspicious persons respectively. The positive detection rates of 41, 19 and 23 smear positive patients were 0.94%, 0.24% and 0.33% respectively. In 2006 75 township sputum spots all the normal work, 2007, 2008, respectively, 4 and 7 sputum spots did not work properly. Township sputum point grants 160,218 yuan, an average of 1 case of smear-positive patients into 1930 yuan. Conclusion Township sputum point in improving the effectiveness of the discovery of patients is not ideal, into a large, small output. Currently set in the township hospitals sputum point, both in personnel, housing facilities, equipment and other hardware and software are not suitable.