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目的了解咸宁市农村肺结核患者发现与治疗现状,为制定防治措施提供科学依据。方法按照分层随机抽样的原则,在咸宁市咸安、通山、崇阳、通城4个县市抽取583名农村肺结核患者,对其基本情况、诊断及治疗状况进行调查分析。结果农村肺结核患者的首发症状为咳嗽、咳痰、乏力等;首次出现症状到初次就诊的时间平均为8.4d;首诊机构以乡镇卫生院、县级以上综合医院、村卫生室为主,共占73.8%;肺结核患者确诊机构以非结防机构为主,平均确诊时间为12.8d;接受规则治疗的肺结核患者仅为26.8%,间断或中断治疗的主要原因为经济困难与症状改善。结论做好结核病健康促进和转诊工作是确保农村肺结核患者及时就诊、及时诊断和规则治疗的重要措施。
Objective To understand the status of the discovery and treatment of rural tuberculosis patients in Xianning and to provide a scientific basis for the formulation of prevention and treatment measures. Methods According to the principle of stratified random sampling, 583 rural patients with pulmonary tuberculosis were collected from 4 counties of Xian, Tongshan, Chongyang and Tongcheng in Xianning, and their basic conditions, diagnosis and treatment were investigated. Results The first symptom of rural tuberculosis patients was cough, sputum, fatigue and so on. The time from the first symptom to the first visit was 8.4 days. The first clinic mainly consisted of township hospitals, general hospitals above the county level and village clinics Accounting for 73.8%. The diagnosis of tuberculosis patients was based on non-node-controlled institutions with an average diagnosis time of 12.8 days. Only 26.8% of tuberculosis patients were treated regularly. The main reasons for intermittent or discontinuous treatment were economic difficulties and symptoms improvement. Conclusion To do a good job of TB promotion and referral work is an important measure to ensure timely treatment, timely diagnosis and regular treatment for rural TB patients.