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目的分析滨州市2006—2012年非结核病防治机构网络直报肺结核患者的转诊与追踪情况。方法利用结核病管理信息系统中2006—2012年滨州市非结防机构网络报告肺结核转诊、追踪及核查报表,对6 960例需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。结果 2006—2012年滨州市非结防机构网络直报肺结核及疑似肺结核患者转诊到位率分别是18.44%、27.40%、29.13%、33.15%、33.88%、37.83%、38.01%,呈逐年上升趋势(P<0.05);追踪到位率分别为60.90%、69.14%、75.86%、93.01%、90.01%、89.83%、90.77%;总体到位率分别为74.44%、77.60%、82.99%、95.88%、94.17%、94.94%、96.00%;到位活动性肺结核患者检出率为71.92%,涂阳肺结核检出率为71.23%;非结防机构对活动性肺结核发现的贡献率为40.66%,对涂阳肺结核患者发现的贡献率为37.62%。结论 2006—2012年滨州市非结防机构网络直报肺结核患者的转诊到位率呈逐年递增趋势,追踪到位率及总体到位率均维持在较高水平。
Objective To analyze the referral and follow-up of tuberculosis patients directly reported by non-TB control agency network in Binzhou from 2006 to 2012. Methods The reports of TB referral, follow-up and verification of tuberculosis in TB management information system from 2006 to 2012 in Binzhou were collected. The number of referrals, follow-up rates, overall arrival rates, The detection rate of tuberculosis patients after arrival and the contribution rate of non-prevention institutions found to tuberculosis patients were analyzed. Results The referral rates of direct reports of tuberculosis and suspected pulmonary tuberculosis from 2006 to 2012 in non-TB prevention and treatment institutions in Binzhou were 18.44%, 27.40%, 29.13%, 33.15%, 33.88%, 37.83% and 38.01% respectively, showing an upward trend year by year (P <0.05). The follow-up rates were 60.90%, 69.14%, 75.86%, 93.01%, 90.01%, 89.83%, 90.77% respectively. The overall in-place rates were 74.44%, 77.60%, 82.99%, 95.88%, 94.17 %, 94.94% and 96.00% respectively. The positive rate of positive active pulmonary tuberculosis was 71.92%, positive smear positive pulmonary tuberculosis was 71.23%, non-positive control was 40.66%, and positive smear positive pulmonary tuberculosis The patient’s contribution rate was 37.62%. Conclusion The referral rate of direct reporting TB patients in non-TB prevention and treatment agencies in 2006 and 2012 shows a trend of increasing year by year. The follow-up rate and the overall arrival rate are all kept at a high level.