2013—2015年广州市番禺区肺结核登记及治疗转归分析  

Registration and Treatment Outcomes of Pulmonary Tuberculosis in Panyu,Guangzhou from 2013 to 2015

作　　者：周锦仪[1] 郭婉如 陈其琛[1] 林莹[1] 

机构地区：[1]广州市胸科医院,广东广州510095 [2]广州市番禺区慢性病防治站,广东广州511400

出　　处：《现代医院》2017年第5期703-706,共4页Modern Hospitals

基　　金：广东省医学科学技术研究基金(编号:C2016030)

摘　　要：目的分析广州市番禺区户籍和流动人口肺结核病患者登记和治疗转归情况,为制定结核病防治基本公共卫生服务均等化策略提供依据。方法根据中国疾病预防信息系统登记的数据,对2013—2015年登记管治的肺结核患者进行统计。采用卡方检验的方法,比较分析户籍和流动肺结核患者治疗转归的差异。结果 2013—2015年广州市番禺区共登记肺结核3 047例,平均登记率为68.31/10万。涂阴患者有1 476例(48.44%),初治涂阳肺结核1 421例(46.64%),复治涂阳150例(4.92%)。登记的肺结核患者中,户籍人口2 202例(72.27%),流动人口845例(27.73%)。户籍和流动患者的治疗转归均未见统计学差异(P>0.05)。初、复治病例的治愈率则有统计学差异(P<0.05)。结论番禺区户籍和流动人口肺结核患者享受同等减免政策,均纳入全程督导管理,初步显示了基本公共卫生服务均等化政策的成效。Objective To analyze the registration and treatment outcomes of pulmonary tuberculosis （TB） between local and floating population in Panyu district in Guangzhou and provide equalization of basic public health services strategies to the prevention of TB. Methods According to the data from China Disease Prevention Information System of Panyu dis-tr ict , the patients between 2013 and 2015 were used for statistical analysis. The differences of treatment outcomes between lo-cal and floating TB patients were compared and analyzed by Chi - square test. Results There were 3 ,047 registered patients in 2013 -2015 in Panyu distric t, the annual average TB registration rate was 68. 13/100 000. 1 476 of them were smear neg-ative TB （48. 44% ） ; 1421 new smear positive TB （46. 64% ） ; 150 re - treated smear positive TB （4. 92% ） . Among these pat ients, 2 202 cases were local pulmonary （ 72. 27% ） , and 845 floating pulmonary （ 27. 73% ） . There were statistical differences in the cure rate of new and re - treated patients （P 〈 0. 05 ） . In s te ad , the treatment outcomes of patients with dif-ferent registered residence showed no statistical difference （P 〉 0. 05 ） . Conclusion Local and floating TB patients receive the same health service under the full process monitoring Panyu. It shows the equal basic public health services policy has come out with preliminary results.

关 键 词：结核 治疗转归 番禺区 均等化 

分 类 号：R195.1[医药卫生—卫生统计学] R521[医药卫生—卫生事业管理]