Relying on basic public health service and cluster sampling method,we have randomly selected 9 community committees and 6 village committees by random number table method in Baqiao District,Xi'an City in April,2016.Tuberculosis screening was conducted for those elderly people over 65 years of age,including tuberculosis suspicious symptoms screening and chest X-ray examination.We also conducted Sputum Mycobacterium tuberculosis smear for those with tuberculosis suspicious symptoms or abnormal chest X-ray.There were in total 2053 elderly people over 65 years of age that have received tuberculosis screening.The results showed 115 cases with tuberculosis suspicious symptoms (5.60％) and 85 cases with cough/expectoration (4.14％).After the comprehensive analysis,27 cases of active pulmonary tuberculosis were diagnosed and detected.The detection rate was 1.32％.This has demonstrated that carrying out tuberculosis screening for elderly population over 65 years of age based on basic public health services is effective measure,in improving the detection rate of tuberculosis patients,exploring the special group of patients,and improving the level of comprehensive prevention and treatment of tuberculosis.%依托基本公共卫生服务项目,于2016年4月采用整群抽样方法,在西安市灞桥区采用数字表法随机抽取9个社区居委会和6个村委会,对其中的65岁以上老年人口进行肺结核筛查.包括结核病可疑症状筛查、胸部X线摄影检查,对有结核病可疑症状者和(或)X线摄影异常者进行痰涂片检查,最终2053名65岁以上老年人接受结核病筛查.结果显示,有结核病可疑症状者115例,占5.60％;其中有咳嗽、咯痰者85例,占4.14％.经综合分析,诊断并发现活动性肺结核患者27例,检出率为1.32％.由此可见,依托基本公共卫生服务项目开展65岁以上老年人口结核病筛查是提高肺结核患者检出率、探索特殊人群患者的发现方法、提高结核病综合防治水平的有效措施.
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