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目的通过对流动人口肺结核病人的垮地区管理的实施摸式研究,探索出一套科学实用和易于操作的长效管理机制和实施摸式,并对管理效果进行科学评价。方法选择2008年l月—2009年12月在深圳流动人口肺结核病人相对较多的湖南省邵阳和湘西两地区作为跨地区管理摸式研究点。建立起地区间的合作机制,从而确保流动人口肺结核病人流而不丢。结果实施流动人口肺结核病人垮地区管理摸式研究后,病人丢失率由实施前的32%降至实施后的3%,规则治疗率由实施前的67%增至97%。结论流动人口肺结核病人垮地区管理摸式研究表明;不管病人在何处发病或在治疗中迁往何地,都能确保病人规则治疗,不会因病人工作或住址的变更而影响治疗效果,从而极大的提高了治愈率,减少了流动性传染源,对控制结核病流性具有十分重要的意义。
Objective To explore a set of scientific and practical and easy-to-operate long-term management mechanism and implementation model through scientific research on the implementation of collapse area management of migrant population with pulmonary tuberculosis and to evaluate the management effect scientifically. Methods From January 2008 to December 2009, Shaoyang and Xiangxi areas with relatively large TB population in Shenzhen were selected as research sites for interregional management. The establishment of inter-regional cooperation mechanisms to ensure that migrants flow of TB population without losing. Results After implementing the pilot study on management of migrants with pulmonary TB in floating population, the patient loss rate dropped from 32% before implementation to 3% after implementation, and the regular treatment rate increased from 67% before implementation to 97%. Conclusion The research on management of migrant tuberculosis patients in floating population shows that no matter where the patients are or where they move, they can ensure the regular treatment of the patients and will not affect the treatment effect due to the change of the patient’s work or residence. It greatly improves the cure rate and reduces the source of liquidity infection, which is of great significance to control the flow of tuberculosis.