结核病监测系统在肺结核患者治疗管理应用中的效果评价  

Effect evaluation of tuberculosis surveillance system in management application of patients with pulmonary tuberculosis

作　　者：沙琳[1] 游王杰 周光华[3] 万荣珍[2] SHA Lin;YOU Wangjie;ZHOU Guanghua;WAN Rongzhen(Department of Health Care,Chongqing Municipal Ninth People′s Hospital,Chongqing 400700,China;Department of Infection,Chongqing Municipal Ninth People′s Hospital,Chongqing 400700,China;Beibei District Center for Disease Control and Prevention,Chongqing 400700,China)

机构地区：[1]重庆市第九人民医院保健科,400700 [2]重庆市第九人民医院感染科,400700 [3]重庆市北碚区疾病预防控制中心,400700

出　　处：《重庆医学》2021年第22期3864-3866,共3页Chongqing medicine

基　　金：北碚区技术创新与应用示范社会民生类基金项目(2019-13)。

摘　　要：目的探讨结核病监测系统在肺结核患者治疗管理应用中的效果。方法选取重庆市北碚区某定点医院2019年7月至2020年7月诊断、报告的所有肺结核患者为研究对象。2019年7-12月采用传统管理方式,2020年1-7月采用结核病监测系统管理方式。比较两种管理方式患者转诊率、追踪到位率、定期复查率、治疗率和漏报率。结果2019年7-12月诊断肺结核患者246例,2020年1-7月诊断肺结核患者221例。传统管理方式转诊率、追踪到位率、定期复查率和治疗率均低于结核病监测系统管理方式(P<0.05),漏报率高于结核病监测系统管理方式(P<0.05)。结论结核病监测系统能有效提高结核病患者转诊率、追踪到位率、定期复查率和治疗率,降低漏报率。Objective To explore the effect of tuberculosis surveillance system in the management of pulmonary tuberculosis(TB)patients.Methods All pulmonry TB patients diagnosed and reported in a designated hospital in Beibei District of Chongqing from July 2019 to July 2020 were selected as the research subjects.The traditional management method was adopted in July to December 2019,and the TB surveillance system management method was adopted in January to July 2020.The referral rate,tracking arrival rate,regular review rate,treatment rate and missing report rate were compared between the two management methods.Results Two hundreds and forty-six cases of pulmonary TB were diagnosed from July to December 2019 and 221 cases of pulmonary TB were diagnosed from January to July 2020.The referral rate,tracking arrival rate,regular review rate and treatment rate in the traditional management methods were all lower than those in the TB surveillance system management method(P<0.05),and the missing report rate was higher than that of the TB surveillance system management method(P<0.05).Conclusion The TB surveillance system can effectively improve the referral rate,tracking arrival rate,regular review rate and treatment rate of TB patients,and reduce the missing report rate.

关 键 词：结核病监测系统 肺结核患者管理 效果评价 

分 类 号：R521[医药卫生—内科学]