上海市闸北区结核病信息管理系统的应用分析  

Analysis of TB information management system in Zhabei district of Shanghai city

作　　者：邓艳[1] 陈红[1] 李智红[1] 徐敏钢 

机构地区：[1]上海市闸北区疾病预防控制中心结核病防治科,200072

出　　处：《中国防痨杂志》2012年第2期93-95,共3页Chinese Journal of Antituberculosis

摘　　要：目的探讨上海市闸北区结核病信息管理系统在肺结核患者规范化管理中的应用。方法对闸北区2005年6—8月份(简称为组一,141例)、9—11月份(简称为组二,112例)及2009年9—11月份(简称为组三,176例)新发疑似肺结核患者进行追踪,对总体到位率进行χ2检验和多个样本的两两比较,P<0.05为差异有统计学意义;对2005—2009年闸北区上海市户籍肺结核患者系统管理率进行描述性分析,并对2005年(234例)和2009年(219例)的肺结核患者系统管理率进行χ2检验。结果系统使用前后,新发疑似肺结核患者追踪总体到位率从2005年73.0%(103/141)上升到2009年96.6%(170/176)。χ2=37.053,P<0.01,差异有统计学意义。三组进行组间比较,组二与组一比较OR=1.220,95%CI=0.687～2.168;组三与组一比较OR=10.453,95%CI=4.271～25.585;组三与组二比较OR=8.566,95%CI=3.397～21.598。系统管理率从2005年的95.3%(223/234)上升到2009年的100.0%(219/219),χ2=10.551,P=0.001。结论上海市闸北区结核病信息管理系统在肺结核患者规范化管理中具有很大的推广应用价值。Objective To explore the application of TB information management system in the standardized management of pulmonary TB patients.Methods Chi-square test and comparative analysis between groups was done for the tracking arrival rate of the new suspected TB patients.The TB patients included three groups： Group Ⅰ comprised of 141 patients registered from June 2005 to August 2005;Group Ⅱ comprised of 112 patients registered from September 2005 to November 2005;Group Ⅲ comprised of 176 patients registered from September 2009 to November 2009.Descriptive analysis was made for the systematic management rate of the resident TB patients in Zhabei district and Chi-square test was done for the systematic management rate of 234 TB patients in 2005 and 219 patients in 2009.Results After using the TB information management system,the overall tracking arrival rate for new suspected pulmonary TB patients increased from 73.0%（103/141） in 2005 to 96.6%（170/176） in 2009.χ2=37.053,P〈0.01,the difference is statistically significant.The pairwise comparison were made between three groups： OR=1.220（95%CI=0.687-2.168） between group Ⅱ and group Ⅰ;OR=10.453（95%CI=4.271-25.585） between group Ⅲ and group Ⅰ;OR=8.566（95%CI=3.397-21.598） between group Ⅲ and group Ⅱ.Systematic management rate rose from 95.3%（223/234） in 2005 to 100.0%（219/219） in 2009,χ2=10.551,P=0.001.Conclusion TB information management system in Zhabei district has great application value in the stan-dardized management of pulmonary TB patients.

关 键 词：结核 肺/预防和控制 病人管理 管理信息系统 上海市 

分 类 号：R52[医药卫生—内科学]