重庆市永川区"1+1+N"丙型肝炎治疗管理模式的探索研究  

Exploration and Research on the"1+1+N"Hepatitis C Treatment Management Model in Yongchuan District,Chongqing

作　　者：唐鑫 万克强 田文广 Tang Xin;Wan Ke-qiang;Tian Wen-guang(Yongchuan Hospital,Chongqing Medical University&The Fifth Clinical College of Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆医科大学附属永川医院﹒重庆医科大学第五临床学院,重庆402160

出　　处：《四川生理科学杂志》2024年第3期480-483,496,共5页Sichuan Journal of Physiological Sciences

基　　金：重庆医科大学第五临床学院研究生创新基金资助项目(编号:YJSCX202208)。

摘　　要：目的:为有效消除丙型病毒性肝炎(以下简称丙肝),本项研究评估一项以丙肝定点医院及疾病预防控制中心为双中心,联合多个医疗机构的区域性丙肝治疗管理模式的有效性.方法:这项研究主要包括永川区既往报告丙肝病例的定点医院与疾控中心的工作对接与治疗管理,新诊断丙肝病例在定点医院的治疗随访、信息反馈,以及疾控中心的工作督导,主要的结果衡量标准是统计永川区丙肝病例的治疗率、治愈率及随访率.结果:对于既往报告病例,2022年6月15日—8月15日期间我们共接收转介丙肝患者87人,实际到位就诊71人,到位率达到了81.6%.规律于我院随访丙肝病毒核酸及肝功能的患者,其治愈率成功达到了95%以上.结论:结构化的"1+1+N"的丙肝治疗管理模式适合永川地区丙肝治疗管理,有效减少人力时间,促进丙肝患者的规范化诊治.Objective:To effectively eliminate hepatitis C,this study evaluates the effectiveness of a regional hepatitis C treatment management model that combines designated hospitals for hepatitis C and disease prevention and control centers as dual centers,in conjunction with multiple medical institutions.Methods:This study mainly includes the work coordination and treatment management between designated hospitals in Yongchuan District that have previously reported hepatitis C cases and the Centers for Disease Control and Prevention,the treatment follow-up and information feedback of newly diagnosed hepatitis C cases in designated hospitals,and the work supervision of the Centers for Disease Control and Prevention.The main measurement criteria for the results are the statistical cure rate,and follow-up rate of hepatitis C cases.Results:For previously reported cases,from June 15 to August 15,2022,we received a total of 87 referrals of hepatitis C patients,of which 71 were actually treated,with a delivery rate of 81.6%.Regular follow-up of patients with hepatitis C virus nucleic acid and liver function in our hospital has successfully achieved a cure rate of over 95%.Conclusion:The structured"1+1+N"hepatitis C treatment management model is suitable for the management of hepatitis C treatment in Yongchuan area,effectively reducing manpower time and promoting standardized diagnosis and treatment of hepatitis C patients.

关 键 词：丙型肝炎 管理 治疗 微消除 

分 类 号：R512.63[医药卫生—内科学]