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目的评价福州市跨区域流动肺结核患者管理和治疗情况,为制定福州市“十三五”结核病规划中跨区域患者管理策略提供依据。方法以福州市2011—2015年330例跨区域流动肺结核患者为研究对象,比较转入和转出患者的基本特征、地区分布、到位情况、管理方式和队列转归结果等方面的差异,以P<0.05为差异有统计学意义。结果福州市2011—2015年跨区域流动肺结核患者男性占72.7%,年龄45岁以下占80.3%,职业以家务及待业、农民、民工和工人为主,占71.2%。省外流动比例为41.2%,主要以贵州、四川、云南为主。跨区域流动肺结核患者信息反馈率为100%,转入患者到位代管率(97.7%)高于转出患者(88.8%),差异有统计学意义(P<0.05)。跨区域流动肺结核患者未到位原因主要为未回(33.3%),查无此人(30.0%)。跨区域流动肺结核患者的治疗成功率为79.7%,其中转入患者的治疗成功率(84.8%)高于转出患者(75.7%),差异有统计学意义(P<0.05)。转入到位患者的治疗成功率(87.7%)高于转出到位患者(78.2%),差异有统计学意义(P<0.05)。转出到位患者的丢失率高于转入到位患者,差异有统计学意义(P<0.05)。结论福州市在“十二五”期间跨区域流动肺结核患者管理方面取得了一定成效,信息反馈率和到位率均较高,但应进一步提高治疗成功率。
Objective To evaluate the management and treatment of floating TB patients in Fuzhou and provide the basis for the development of cross-regional patient management strategies in Fuzhou’s “13th Five-Year Plan” tuberculosis program. Methods A total of 330 migrating patients with tuberculosis from 2011 to 2015 in Fuzhou City were selected as research objects. The differences of basic characteristics, regional distribution, location, management mode and outcome of cohort were compared between the two groups. P <0.05 for the difference was statistically significant. Results In 2011-2015, 72.7% of floating TB patients in Fuzhou, 80.3% of them under the age of 45, accounted for 71.2% of the total number of jobs were household and unemployed, peasants, migrant workers and workers. Flow ratio of 41.2% outside the province, mainly in Guizhou, Sichuan, Yunnan-based. The information feedback rate of trans-regional mobile TB patients was 100%, and the transfusion rate of intubated patients (97.7%) was higher than that of transferred patients (88.8%). The difference was statistically significant (P <0.05). Trans-regional mobile tuberculosis patients are not in place because the main reason is not back (33.3%), no such person (30.0%). The success rate of treatment was 79.7% in patients with trans-regional mobile pulmonary tuberculosis. The success rate of transfusion into patients was 84.8% higher than that of patients with transfusion (75.7%). The difference was statistically significant (P <0.05). The success rate of treatment (87.7%) transferred to the place of patients was higher than that of the patients transferred out of place (78.2%), the difference was statistically significant (P <0.05). The rate of loss of patients who were transferred out of hospital was higher than that of patients who were transferred to hospital, with significant difference (P <0.05). Conclusion Fuzhou achieved some success in the management of trans-regional mobile tuberculosis patients during the “Twelfth Five-year Plan” period, and both information feedback rate and delivery rate are high. However, the success rate of treatment should be further improved.