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目的了解惠州市惠城区流动人口肺结核治疗管理效果。方法对2009~2012年惠城区登记治疗的2 451例流动人口肺结核患者的来源、就诊和诊断延迟、治疗转归进行分析。结果惠城区流动人口涂阳肺结核和活动性肺结核登记率分别为40.43/10万和109.26/10万,高于户籍人口涂阳肺结核登记率21.05/10万和活动性肺结核登记率46.13/10万(χ2=167.76,P<0.01和χ2=715.78,P<0.01)。73.52%的流动人口患者首诊于各级非结核病防治机构的医疗卫生单位,患者就诊延迟率、诊断延迟率分别是32.44%和8.20%。流动人口肺结核患者治疗成功率97.80%,丢失率1.35%。跨区域管理患者治疗成功率43.24%,丢失率35.14%。结论流动人口结核病防治工作取得了较好的防治效果,流动人口结核病患者登记率较高,跨区域管理患者丢失多、治疗效果较差,流动人口的肺结核防治工作仍需进一步加强。
Objective To understand the effect of tuberculosis treatment and management of floating population in Huicheng District of Huizhou City. Methods The source, treatment, delayed diagnosis and treatment outcome of 2 451 floating population pulmonary tuberculosis patients registered for treatment from 2009 to 2012 in Hui City were analyzed. Results The registration rates of smear positive pulmonary tuberculosis and active tuberculosis in migrant population in Hui City were 40.43 / lakh and 109.26 / lakh, respectively, higher than the registered rate of smear-positive pulmonary tuberculosis 21.05 / lakh and active TB registered 46.13 / lakh χ2 = 167.76, P <0.01 and χ2 = 715.78, P <0.01). 73.52% of floating population were first diagnosed at non-TB medical institutions at all levels. The delay rate of diagnosis and treatment was 32.44% and 8.20% respectively. The floating population of tuberculosis patients treatment success rate of 97.80%, the loss rate of 1.35%. Trans-regional management of patients with a success rate of 43.24%, the loss rate of 35.14%. Conclusion The prevention and control of TB in floating population has achieved good prevention and cure effect. The registration rate of TB patients in floating population is relatively high, the loss of multi-regional management patients is much, and the treatment effect is poor. The prevention and control of tuberculosis in floating population needs to be further strengthened.