深圳市流动人口肺结核患者跨区域管理实施效果评价  

Results of cross-regional management of TB patients among floating population in Shenzhen City

作　　者：管红云[1] 杨应周[1] 谭卫国[1] 吕建文[1] 吴清芳[1] 

机构地区：[1]深圳市慢性病防治中心,广东深圳518020

出　　处：《中国热带医学》2011年第10期1192-1194,共3页China Tropical Medicine

基　　金：国家"十一五"重大专项(No.2009ZX10003-018)

摘　　要：目的评价深圳市流动人口肺结核患者跨区域管理实施效果,为制定流动人口结核病防治对策提供参考依据。方法回顾性调查和分析2009年深圳市转出和转入的流动人口肺结核病人的管治效果。结果 2009年深圳市转出、转入的流动人口肺结核患者分别为593例和50例。转出和转入患者的到位反馈率分别为77.9%和76.0%,跨区域转诊丢失率为21.9%。转出患者的重新登记率(51.5%)高于代管率(45.7%)。转入患者的代管率(81.6%)高于重新登记率(7.9%)。转出与转入患者的代管率差异有统计学意义(χ2=18.128,P<0.01),转出患者与转入患者的成功治疗率分别为32.5%和72.0%,两组之间差异有统计学意义(χ2=31.302,P<0.01),对于代管患者,转出和转入患者的成功治疗率分别为90.0%和83.9%,差异无统计学意义(χ2=0.528,P>0.05)。结论深圳市转出患者的重新登记率明显高于代管率。跨区域转诊丢失率较高。代管患者的成功治疗率较高,建议全国加强转入地结防机构的配合,进一步完善跨区域肺结核患者管理程序。Objective To analyze the results of cross-regional management of TB patients among floating population in Shenzhen,and provide basis for formulating control and management strategy.Methods The data concerning management of floating TB cases referred inside and referred aouside Shenzhen was retrospective analyzed.Results There 593 cases of floating TB patients were referred out and 50 cases were referred into Shenzhen in 2009 with the response rates after arrival was 77.9% and 76.0% respectively.The loss rate after referral was up to 21.9%.The re-registration rate was higher than management rate among the patients referred out,but the management rate was much higher than re-registration rate among the patients referred into Shenzhen.The successful treatment rate of the patients who referred out and in was 90% and 83.9% respectively.Conclusions The re-registration rate is higher than the management rate among the patients referred out.The loss rate after referral was very high.The successful treatment rate was also very high among the patients who were managed.The cooperation among the TB prevention and control institutions be strengthened and the mechanisms for cross-regional management should be perfected.

关 键 词：结核/预防与控制 跨区域管理 流动人口 

分 类 号：R521[医药卫生—内科学]