深圳市龙岗区流动人口初治涂阳肺结核强化期督导管理的实施  

IMPLEMENT STUDY ON SUPERVISION OF MOBILE POPULATION INITIAL SMEAR-POSITIVE PULMONARY TUBERCULOSIS CASES TREATED WITH INTENSIFY PHASE DIRECT IN LONGGANG,SHENZHEN

作　　者：李仁龙 林红岩 邓章莉 刘靖元 沈磁石 谭卫国[2] 杨应周[2] 

机构地区：[1]深圳市龙岗区慢性病防治院,518172 [2]深圳市慢性病防治院

出　　处：《现代预防医学》2003年第5期648-651,共4页Modern Preventive Medicine

摘　　要：目的 :寻找有效方法全面落实深圳市百分百人群控制策略 ,解决占深圳市 1/ 3人口的流动人口肺结核病人疏于管理的问题。方法 :采用强化期督导方式对流动人口肺结核病人进行有效管理 ;评价病人发现指标、归口管理指标、病人化疗管理指标和化疗效果指标 ,与常、暂住人口病人进行比较。结果 :2 0 0 1年 7月 1日～ 2 0 0 2年 12月 31日间发现可疑流动人口肺结核病人 16 81例 ,转诊到位 16 0 3例 ,转诊到位率 95 .4 % ,涂阳病人检出率 16 % ,初诊查痰阳性率 2 2 .9% ,治疗覆盖率 94 .6 % ,完成治疗率 90 .8% ,规则用药率 90 .6 % ;1月未痰菌阴转率 6 5 .2 % ,2月末痰菌阴转率 70 .3%和 3月末痰菌阴转率 78.7% ,治愈率 82 .0 %。结论 :流动人口肺结核病人管理是必须的 ,采用强化期督导方式管理流动人口病人是有效的 。Objective:To solve the problem of neligeme on supervision of pulmonary tuberculosis cases in mobile population in Shenzhen city.To look for effective method to carry ont the tactics which all the people are controled.Methods:Adopt intensify phase direct pattern to supervise mobile population initial smear-positive pulmonary tuberculosis cases.Compare with census register and temporary residence population TB patients to evaluate case-finding indices,classify supervision indices chemotherapy supervision indices and chemotherapy result indices.Results:1681 cases of suspicious mobile population tuberculosis patients were discovered in the period of 2001.7.1～2002.12.31,and 1603 cases were transmit to anti-tuberculosis center and 1603 cases were arrived,arrive ratio is 95.4%.Smear-positive discover ratio is 16.0%.Initial smear-positive ratio is 22.9%.Supervision cover ratio is 94.6%.Chemotherapy accomplish ratio is 90.8%.Regular chemotherapy ration is 90.6%.The sputum negative conversion rates were 65.2% at end of one month,70.3% at end of two months and 78.7% at end of three months. Cure rate is 82.0%.Conclusion:The supervision of mobile population smear-positive pulmonary tuberculosis cases were feasible.Adopt intensify phase direct pattern to supervise mobile population initial smear-positive pulmonary tuberculosis cases is effective.And also confirm tuberculosis control tactics of Shenzhen is correct and seasonable.

关 键 词：深圳市 龙岗区 流动人口 涂阳肺结核 强化期 督导管理 

分 类 号：R521[医药卫生—内科学]