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[目的]了解南平市乡(镇)卫生院查痰点的分布与工作现状,为调整查痰点及规范工作提供依据。[方法]调查2005—2008年查痰点工作状况,分析存在问题。[结果]全市42个查痰点,痰检人员均为兼职;4年查痰5 210例,查痰率1.3‰,发现涂阳病人34例,检出率0.7%;历年查痰点平均检出的涂阳病人只占总数的4.1%,乡级95%左右的病人是在县级结核病防治机构发现。[结论]有必要在边远乡(镇)卫生院设置查痰点,只有提高痰检质量,才能发挥其作用。
[Objective] To understand the distribution and working status of sputum spots in township (town) hospitals in Nanping, and to provide basis for adjusting the sputum spots and regulating work. [Method] To investigate the working status of sputum from 2005 to 2008 and analyze the existing problems. [Results] 42 sputum sampling sites and sputum sampling staffs were all part-timers in the city. 5,210 sputum samples were obtained in 4 years and the sputum sampling rate was 1.3 ‰. Out of 34 sputum samples were found, the detection rate was 0.7% Out of smear-positive patients accounted for only 4.1% of the total, about 95% of township-level patients were found at the county TB control agencies. [Conclusion] It is necessary to set up sputum sampling sites in remote townships (towns) hospitals. Only by improving the quality of phlegm examination can it play its role.