摘要
目的探讨借助基本公共卫生服务项目老年人健康管理平台主动筛查肺结核病人模式的可行性,为制定肺结核患者的早期主动发现策略提供科学依据。方法目的抽样法选取济宁市2个县作为研究现场,对辖区内登记管理的≥65岁老年人进行肺结核可疑症状筛查,将检出的可疑症状者登记并转诊至结防机构进行X线胸片检查和痰涂片检查,确诊活动性肺结核。结果 2015年两县共筛查109 283例老年人,检出肺结核可疑者症状者5 327例,胸片异常者497例,确诊活动性肺结核患者109例,活动性肺结核患者检出率为99.74/10万,男女患者性别比为4.19∶1;确诊老年活动性肺结核患者占两县同期登记数的35.97%;两县老年活动性肺结核患者发现数较2014年提高了45.60%,差异有统计学意义(P <0.01)。结论借助老年人健康管理平台开展肺结核病主动筛查能够早期发现活动性肺结核患者,提高结核病发现率。
Objective To explore the feasibility of active screening for pulmonary tuberculosis patients via elderly health management platform within the framework of basic public health services,so as to provide scientific evidence for early initiative detection for tuberculosis. Methods Two counties in Jining city were selected as the study sites by objective sampling,and tuberculosis symptom screening was carried out for the registered people aged 65 and above,then the people with tuberculosis symptoms would be registered and referred to the tuberculosis dispensary for chest X ray detection and sputum diagnosis to identify active tuberculosis. Results A total of 109 283 elderly cases in 2015 were screened,and5 327 suspects with tuberculosis symptoms,of which 497 with chest X-ray abnormalities and 109 cases were diagnosed as active tuberculosis,the detection rate was 99.74/105.The gender ratio of male to female was 4.19∶1.The elderly tuberculosis patients accounted for 35.97% of the patients in these two counties;The number of detected elderly tuberculosis patients was 45.60% higher than the counterpart of 2014,with statistically significant difference(P <0.01). Conclusion Active screening of pulmonary tuberculosis via elderly health management platform can be useful for earlier detection of active tuberculosis,and further improve the case detection rate.
出处
《预防医学论坛》
2018年第9期654-656,共3页
Preventive Medicine Tribune
基金
济宁市科技计划项目(济科字2015-57-56)
关键词
健康管理平台
老年人
肺结核
筛查
Health management platform
The elderly
Pulmonary tuberculosis
Screening
