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目的了解4所结核病专科医院对住院肺结核患者的报告、转诊以及抗结核治疗方案,为加强结核病专科医院参与结核病防治工作提供科学依据。方法采用横断面调查研究设计,通过调查问卷收集住院肺结核患者相关数据,并使用4个评价指标进行分析:报告率、转诊率和治疗方案不正确率。结果对4家结核病专科医院中的597例住院肺结核患者进行了病案和随访调查,医院对这些患者的总体报告率为93.5%、总体转诊率为54.4%;初治肺结核患者中仅有65例被采用国家结核病防治规划所推荐的标准化疗方案,86.4%初治患者的抗结核治疗方案不正确;结论尽管结核病专科医院的数量不多,但他们对结核病控制工作的影响不容忽视,亟待规范专科医院对结核病患者的诊疗行为。
Objective To understand the reports, referrals and anti-tuberculosis treatment programs of 4 TB hospitals in hospitalized tuberculosis patients and provide a scientific basis for strengthening their participation in tuberculosis prevention and control work. Methods The cross-sectional study design was used. Relevant data from hospitalized patients with pulmonary tuberculosis were collected by questionnaire and analyzed using four evaluation indexes: report rate, referral rate and treatment plan inaccuracy rate. Results A total of 597 hospitalized tuberculosis patients were investigated in 4 TB hospitals. The total reported rate of the hospital to these patients was 93.5% and the overall referral rate was 54.4%. Only 65 of the newly diagnosed TB patients 86.4% of newly diagnosed patients were treated with the standard chemotherapy regimen recommended by the national tuberculosis prevention and control plan. Conclusion Although the number of TB hospitals is not large, their impact on tuberculosis control can not be ignored and there is an urgent need to standardize the specialty Hospital treatment of tuberculosis patients behavior.