宜章县流动务工者涂阳肺结核发现治疗管理分析.docVIP

精品论文 参考文献 宜章县流动务工者涂阳肺结核发现治疗管理分析 黄玉平1 刘松山2 贺慧鹏2 苏小可2 （1宜章县疾病预防控制中心 424200：2郴州市疾病预防控制中心 423000） 【中图分类号】R521 【文献标识码】A 【文章编号】1672-5085（2010）34-0059-04 【摘要】目的 评价流动务工群体结核病发现治疗管理措施相关因素。方法 对2001～2008年外出、外来、本地务工结核病发现治疗管理相关信息进行统计分析。结果 登记流动务工人员涂阳肺结核396例，外出务工占82.83%，外来务工占9.34%，本地务工占7.83%；男性占61.11%，女性占38.89%；15岁年龄组段占55.05%，25岁年龄组段占38.64%，35岁年龄组段占6.78%；务工地被发现占11.62%，户籍地被发现占88.38%；发现来源外出、外来、本地分别为，就诊37.1%、10.81%、45.16%；转诊36.28%、40.54%、45.16%；因症推荐25.91%、48.65%、9.68%；其它0.61%、0、0；初复治治愈率分别93.1%、89.5%。结论 １.加强企业、农村流动务工人员结核病健康促进宣传教育和入户宣传单发放，可以得到早发现、早诊断、早治疗。2.利用县、乡、村就业服务机构，发放结核宣传单，交待有结核可疑症状及时返乡就诊效果明显。3.外出务工患者辞工回家治疗，外来务工患者由企业志愿者督导治疗管理，有利于及时反馈病人服药和疗效信息，提高规则服药率。4.流动务工群体加强心理干预措施，改变就医行为，降低病例丢失。5.强化期每周电话督导一次，继续期每月督导一次，及时掌握病人信息资料，有利于提高疗效，防止耐药病例发生。 【关键词】 流动务工 结核/预防和控制 Analysis of discovery, treatment, management of smear-positive tuberculosis among mobile workers in YiZhang Huang Yuping Liu Songshan He Huipeng su xiaoke (1,YiZhang CDC YiZhang 424200; 2,ChenZhou CDC ChenZhou 423000) 【Abstract】 Objective To assess relative factor of measures of discovery, treatment, management of mobile workers tuberculosis. Methods Analyze and count relative message of discovery, treatment, management of output, input and native workers in 2001-2008. Results Among registered smear-positive tuberculosis of 396 cases, output workers were 82.83%, input workers are 9.34%, native workers were 7.83%; males were 61.11%, females were 38.89%; fifty-old group was 55.05%, twenty-five olds group was 38.64%, thirty-five olds group was 6.78%; people discovered in work place were 11.62%, people discovered in native place were 88.38%. For discovery source , the output, the input and the native were 37.1%, 10.81%, 45.16% of treatment;36.28%, 40.54%, 45.16% of referral; 25.91%, 48.65%, 9.68% of recommendation because of symptom; 0.61%, 0 , 0 of another respectively. Curing rate of the primary treatments and the secondary treatments were 93.1%, 89.5% respectively. Conclusions 1,Tuberculosis propaganda and educati