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目的了解甘肃省乡镇卫生院结核病痰涂片检查点资源及工作现状,为今后开展查痰点工作提供参考。方法对甘肃省535个乡镇卫生院查痰点基本情况和2005—2008年开展痰涂片检查情况进行分析。结果甘肃省535个查痰点中,目前开展工作的占66.5%。仅有3.0%的痰检人员专职。2005—2008年共对80889例肺结核可疑症状者进行痰涂片检查,发现涂阳患者4065例,涂阳患者检出率为5.0%。假阳254张,假阴3019张。各年的阳性符合率明显低于国家规定标准。结论乡级查痰点在我省涂阳患者发现上所起作用有限,查痰点实验条件及安全防护差、工作开展不平衡。应根据各地的不同情况,制定切实可行的措施,因地制宜,整合有限的资源,改善实验室工作条件,进一步规范乡级查痰点工作。
Objective To understand the resources and work status of sputum smear checkpoint of tuberculosis in township hospitals in Gansu Province and provide reference for carrying out the work of checking sputum in the future. Methods 533 township hospitals in Gansu Province, the basic situation of sputum smear and sputum smear examination carried out in 2005-2008 were analyzed. Results Among the 535 sputum smear spots in Gansu Province, 66.5% were currently working. Only 3.0% of sputum examination staff full-time. From 2005 to 2008, a total of 80889 cases of suspected tuberculosis were sputum smear examination, and found that smear-positive patients 4065 cases, smear-positive patients was 5.0%. False positive 254, False negative 3019. The positive coincidence rate of each year was significantly lower than the national standard. Conclusion Township sputum spot in the smear-positive patients in our province found to play a limited role, check the sputum point of experimental conditions and poor security, work to carry out an imbalance. Should be based on different situations around the region to develop practical measures to suit one’s measures to local conditions, the integration of limited resources to improve working conditions in the laboratory to further standardize the township sputum point work.