【作者】 王倪； 周林； 陈磊；

【Author】 wang ni,zhou lin,chen lei,China CDC,beijing 102206,China

【机构】 中国疾控中心结核病预防控制中心；

【摘要】 目的了解肺结核患者住院期间的诊治情况和出院后的管理情况,为探索结核病专科医院与结核病防治所的合作模式提供依据。方法采取典型调查的方法选择两个省级结核病专科医院,收集2007年住院治疗的全部肺结核病患者相关信息。结果 374例住院肺结核患者主要通过X线、临床症状和CT检查诊断,查痰率低(x~2=17.7,P<0.05),其中334(89.3%)例使用了二线抗结核药,出院后仅有30(8%)例患者被转诊到结核病防治机构。结论肺结核患者住院期间诊疗不规范,出院后未得到系统的管理,政府应加大对医院的经费投入,建立结核病专科医院和当地结核病防治所的合作机制,实现优势互补。更多还原

【Abstract】 Aim The result of the survey on TB diagnosis,treatment and management in TB hospital will helped to develop strategies on collaboration mechanism between TB hospitals and TB institutions. Methods Using typical survey method,selected two provincial TB hospitals,looked up all the case history in 2007.Results X-ray,clinical symptom and CT were the main diagnostic criteria,the rate of sputum examination is very low(x~2=17.7,P<0.05 ),Out of 374 cases,334(89.3%) cases were prescribed second line anti TB drugs,After hospital discharge only 30(8.0%) cases were transferred to the TB dispensary. Conclusion The diagnosis,treatment and management lack of standardization,and there is need more input from the Gov.to establish the collaboration mechanism between TB hospitals and TB institutions.更多还原