中山市跨区域肺结核患者管治探讨.docxVIP

中山市跨区域肺结核患者管治探讨 陈裕华 周毫英 罗祖源 李紫平(中山市第二人民医院528400) 【中图分类号】R521 ［文献标识码】A【文章编号】1672-5085 (2011) 45-0033-03 【摘要】目的探讨中山市实施管治跨区域流动人口肺结核病患者管治效果，为 制定有效流动人口结核病管治对策提供科学依据。方法 根据中山市2009年1 月?2010年12月结核病网络疫情报告和流动人口结核病防治项目季报表的资料, 流动人口结核病人登记木和流动人口结核病转出登记木，中国疾病預防控制系统 结核病人转入中山市系统和中山市转入病人登记木。进行到位患者治疗转归和患 者到位情况进行分析。结果2009年1月?2010年12月中山市登记确诊肺结核 患者3118例，其中流动人口肺结核患者1143例，占37%。转出木市流动人口 肺结核跨区域管理患者75例。占流动人口确诊登记病例的0.66% o 75例转出木 市流动人口跨区域管理患者中，61例反馈到位，14例反馈未到位，到位反馈率 81.3%。转出到位跨区域管理的61例患者中，其中成功治愈及完成疗程53例， 重新登记6例，丢失1例，非结核病死亡1例，成功治疗率达86.8% o同时，转 入木市流动人口肺结核跨区域管理患者24例。24例中，到位16例，未到位8 例。其中到位16例中，治愈及完成疗程15例，丢失1例，无重新登记,成功治 疗率为93.8%0结论成功实施对流动人口的管理及治疗。取决于：1.初诊时对病 人基木信息的完善和准确；2.病人对结核病知识的重视和认知，也就是初诊时的 健康教育；3.转入地及转出地相关机构的相关人员紧密配合及高度责任心。4.进 一步完善全国跨区域肺结核患者管理机制。 【关键词】结核 肺/病人转诊 流动人口 管治效果 探讨 中山市 Analysis on cross-regional tuberculosis management about floating population in Zhongshan Chen yuhua, Zhou haoying, Luo zuyuan Li ziping Zhongshan Second peoplersquo;s hospital, Zhongshan 528400, China 【Abstract] Objective To investigate the effect of cross-regional management on floati ng populati on living with pulm on ary tuberculosis (PTB) in Zhon gsha n, and explore effective management measure for the floating population. Methods Date from internet bases infectious disease reporting system TB register and TB institutional statements about the rate of arrival in floating population were analyzed from Apr,2009 to Sep, 2010.Results A total of 3118 pulm on ary tuberculosis patie nts were found from Apr, 2009 to Sep, 2010, including 1143 the floating population, which rate was 37%. Among that floating population, 75 cross-regional cases were referred (0.66%), which had 61 cases referral arrival (81.3%). In the 61 cases, the rate of treatment reach to 86.8%, 53 pulm on ary tuberculosis cases were diag no sed, treated and cured in the transfers and 6 cases were registered again, one case lost its track? Also, 15 cases became nor arrival, which had 14 cases lost their tracks and one case died for non-tuberculosis. Meanwh