乌鲁木齐市天山区65岁以上老年人肺结核病筛查分析

发布时间：2018-07-25 10:17

【摘要】：目的对2015年新疆乌鲁木齐市天山区65岁及以上老年人进行肺结核病筛查,提高老年肺结核病患者的发现水平,有效控制结核病疫情。方法对辖区内社区服务中心(站)管理的65岁及以上老年人全部进行肺结核病症状问卷筛查,有可疑症状者转至体检定点门诊再行拍片和查痰检查;发现的肺结核病患者转至结核病定点门诊接受国家免费治疗与管理。结果 2015年辖区内常驻65岁及以上老人45 275人,其中本次接受问卷筛查15 631人,筛查率34.52%;问卷筛查查出可疑症状者3 632人、占23.24%,可疑症状者转诊至定点体检门诊接受结核病相关检查1 984人、转诊到位率54.63%,到位人员中女性占58.62%,受检者中年龄最小65岁、最大93岁,平均71.79岁;通过拍片和查痰发现肺结核病患者23人、检出率1.16%,检出肺结核病患者中,痰菌阳性4人(男性1人、女性3人)、阴性19人。结论老年肺结核病有其自身的发病特点,应引起高度重视;加强老年肺结核病的早发现、早诊断、早治疗将成为乌鲁木齐市天山区结核病控制中不容忽视的重要环节。
[Abstract]:Objective to screen the elderly aged 65 and above in Tianshan District of Urumqi, Xinjiang in 2015, to improve the detection level of the elderly patients with pulmonary tuberculosis, and to effectively control the epidemic situation of tuberculosis. Methods all the elderly aged 65 years and above managed by the community service center (station) were screened for pulmonary tuberculosis symptom questionnaire, and those who had suspicious symptoms were transferred to the designated outpatient clinic to take pictures and sputum examination. TB patients were transferred to tuberculosis clinics for free treatment and management. Results in 2015, there were 45,275 resident persons aged 65 and above, of whom 15,631 were screened by questionnaire, with a screening rate of 34.522.There were 3,632 suspected symptoms detected by questionnaire screening. The patients with suspicious symptoms were referred to the designated outpatient clinic for tuberculosis related examination. The referral rate was 54.63 and the female accounted for 58.622.The age of the patients was the youngest 65 years, the oldest was 93 years old, and the average age was 71.79 years. 23 patients with pulmonary tuberculosis were found by radiography and sputum examination, the detection rate was 1.16.The sputum bacteria were positive in 4 patients (male 1, female 3) and negative in 19 cases. Conclusion the elderly pulmonary tuberculosis has its own characteristics and should be paid great attention to, and strengthening the early detection, early diagnosis and early treatment of senile tuberculosis will become an important part of tuberculosis control in Tianshan District of Urumqi.
【作者单位】：新疆乌鲁木齐市天山区疾病预防控制中心;
【分类号】：R521

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