湖南省监狱系统结核病防治管理模式及其控制效果分析  

Analysis on the model of tuberculosis control and management and its' control effectiveness in Hunan jail system

作　　者：简学武[1] 赵晖 白丽琼 杨华林 谢颖[1] 张志平 

机构地区：[1]湖南省卫生厅疾病控制处,长沙410008 [2]湖南省监狱管理局卫生处 [3]湖南省结核病防治所结核病控制科

出　　处：《中国防痨杂志》2011年第9期604-607,共4页Chinese Journal of Antituberculosis

基　　金：中国全球基金结核病控制项目(07-042)

摘　　要：目的分析湖南省监狱结核病防治管理模式及其控制效果,为监狱结核病患者发现和防治提供科学依据。方法选取2006年1月至2009年12月湖南省所有监狱的所有在押人员为研究对象,通过2006年1月建立部门间协调机制和监狱肺结核患者定点医院,采取对新入监人员普查、在监人员因症就诊和涂阳患者密切接触者筛查等各监狱多途径发现患者,根据调查结果将发现的肺结核患者集中到定点监狱医院,实行"多列队、面对面、人盯人"服药治疗管理模式的处理和管理。结果 2006年1月至2009年12月湖南省监狱在押人员肺结核现况调查中共发现监狱肺结核患者2105例,其中涂阳患者237例(11.26%);发现的肺结核患者主要来自因症就诊1808例(85.89%)。2006—2009年涂阳患者检出率逐年增高,由9.06%(57/629)增加至12.90%(53/411)。涂阳肺结核患者治愈率为97.05%(230/237),涂阴肺结核患者治疗成功率为84.74%(1583/1868)。结论湖南省通过在监狱系统建立多部门合作、定点医院与监区相结合的患者管理模式,监狱肺结核的控制取得了良好的效果,证明该模式是监狱结核病防治的可行管理模式。Objective To analyze the management model of TB prevention and control and the effect of the management model in Hunan prison system,and to provide scientific basis for case detection and treatment. Methods All detainees in all of Hunan jails were enrolled in this study,the survey began in January 2006,and ended in December 2009.By the establishment of the inter-sectoral department coordinating mechanism and pilot hospitals,and adopted multiple methods to detect cases,such as,made census on the people who were newly sent into prison,passive case identification,and screening those ones who have been in close contact with smear-positive patients.According to the results of the survey,TB patients newly discovered were centralized to the pilot hospital to accept ＂Multiple cohorts,face-to-face,people-to-people＂ unified management and treatment. Results In the cross-sectional investigation of Hunan custody TB epidemic from 2006 to 2009,2015 pulmonary TB patients were detected,including 237（11.26%） smear-positive patients,and 1808（85.89%） patients were mainly found out by passive case identification.The detection rate of custody smear-positive patients was increased year by year from 9.06%（57/629）in 2006 to 12.90%（53/411）in 2009.The cure rate of smear-positive patients was 97.05%（230/237）,and the treatment success rate of the smear-negative patients was 84.74%（1583/1868）. Conclusion Through establishment of a multi-department cooperative mechanism,and the combination between the jail and pilot hospital,the TB control work has achieved good results.The model proves to be a viable model for TB prevention and control in Hunan jails.

关 键 词：结核 肺/预防和控制 监狱 湖南省 

分 类 号：R184.6[医药卫生—流行病学]