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目的探讨嘉善县外来人口结核病的流行特征和控制管理模式,以提高结核病控制效果。方法采取回顾性分析方法 ,将2006年10月至2007年9月未实施外来流动人口结核病控制项目管理年度与2007年10月至2008年9月实行外来人口结核病控制项目管理后的管理资料进行对比研究。结果外来人口占新发痰涂片阳性(涂阳)肺结核的80%,新发涂阳肺结核病人年龄高峰期为15~44岁,占84.49%。男性患者是女性患者的2.17倍。涂阳肺结核病人职业构成以民工为主,占94.57%。外来人口结核病控制项目实施前后转诊到位率由72.94%上升到97.90%;全程督导率由78.46%提高到96.28%;2月末痰菌阴转率由73.49%提高到88.04%,治愈率由67.47%提高到86.15%。结论通过对外来人口实施流动人口结核病项目的管理模式,转诊到位率、治愈率和人群结核病知识知晓率有了较大提高,对嘉善县的结核病控制管理效果明显。
Objective To explore the epidemiological characteristics and control mode of tuberculosis among migrants in Jiashan County in order to improve the control effect of tuberculosis. Methods A retrospective analysis was conducted to compare the management of non-migrant TB control projects between October 2006 and September 2007 with the management data of the non-native TB control projects from October 2007 to September 2008 the study. Results The foreign population accounted for 80% of new smear-positive (smear-positive) tuberculosis, and the peak age of new smear-positive pulmonary tuberculosis was 15-44 years old, accounting for 84.49%. Male patients are 2.17 times more female patients. The occupational composition of smear-positive pulmonary tuberculosis is dominated by migrant workers, accounting for 94.57%. The referral rate before and after the implementation of TB control program increased from 72.94% to 97.90%; the overall supervision rate increased from 78.46% to 96.28%; the rate of sputum negative conversion increased from 73.49% to 88.04% at the end of February, and the cure rate increased from 67.47% Increase to 86.15%. Conclusion Through the management of floating population TB program on migrant population, the referral rate, cure rate and awareness of tuberculosis in the population have been greatly improved, and the effect of TB control in Jiashan County has been obviously improved.