论文部分内容阅读
通过对2009-2015年新疆非结核病防治机构(简称“非结防机构”)登记报告的299 338例肺结核患者的转诊、追踪及到位诊断等情况进行统计分析.结果显示,新疆非结防机构网络直报肺结核及疑似肺结核患者2009-2015年转诊到位率、追踪到位率、总体到位率,2009年分别为18.40％(6332/34 411)、56.47％(12 482/22 103)、60.68％(20 881/34 411);2010年分别为27.74％(6058/21 838)、59.61％(8666/14 538)、72.74％(15 885/21 838),2011年分别为28.49％(6598/23 161)、70.11％(11 245/16 038)、78.75％(18 239/23 161);2012年分别为36.48％(8800/24 125)、76.95％(11 527/14 979)、85.29％(20 576/24 125);2013年分别为41.65％(10 282/24 685)、77.39％(10 845/14 013)、86.75％(21 413/24 685);2014年分别为39.50％(14 334/36 326)、77.90％(16 716/21 459)、86.60％(31 459/36 326),2015年分别为43.88％(20 181/45 986)、85.52％(20 709/24 214)、90.05％(41 409/45 986);到位活动性肺结核患者、涂阳肺结核患者诊断符合率,2009年分别为35.47％(7406/20 881)、17.12％(3574/20 881),2010年分别为57.41％(9119/15 885)、24.25％(3852/15 885);2011年分别为56.62％(10 327/18 239)、21.74％(3966/18 239);2012年分别为41.75％ (8591/20 576)、15.59％ (3207/20 576);2013年分别为43.53％(9322/21 413)、12.88％(2757/21 413);2014年分别为36.21％(11 390/31 459)、10.98％(3454/31 459),2015年分别为35.17％(14 562/41 409)、11.29％(4676/41 409).非结防机构对活动性肺结核患者、涂阳肺结核患者发现的贡献率,2009年分别为31.18％(7406/23 749)、29.42％(3574/12 150);2010年分别为36.19％(9119/25 201)、33.75％(3852/11 412);2011年分别为44.92％(10 327/22 989)、42.23％(3966/9329);2012年分别为30.24％(8591/28 409)、28.76％(3207/11 150);2013年分别为30.72％(9322/30 346)、32.60％(257/8456);2014年分别为36.88％(11 390/30 880)、43.49％(3454/7942);2015年分别为35.58％(14 562％32 666)、61.06％(4676/7658).由此可见,2009-2015年新疆非结防机构网络直报肺结核患者的转诊到位率仍有很大提升空间,追踪到位率及总体到位率均维持在较高水平.“,”This article analyzed the referral,tracking and arrival of 299 338 registered tuberculosis patients in Xinjiang during 2009-2015 in non TB control institutions (herein after referred to as “non TB institutions”).The results showed that the referral rate,tracing arrival rate and overall arrival rate of pulmonary tuberculosis cases and suspected pulmonary tuberculosis patients reported by non-TB institutions in Xinjiang increased year by year.The rates were 18.40％ (6332/34 411),6.47％ (12 482/22 103) and 60.68％％ (20 881/34 411) respectively in 2009,27.74％ (6058/21838),59.61％ (8666/14 538) and 72.74％ (5885/21 838) in 2010,28.49％ (6598/23 161),70.11％ (11 245/16 038) and 78.75％ (18 239/23 161) in 2011,36.48％ (8800/24 125),76.95％ (11 527/14 979)and 85.29％ (20 576/24 125) in 2012,41.65％ (10 282/24 685),77.39％ (10 845/14 013) and 86.75％ (21 413/24 685) in 2013,39.50％ (14 334/36 326),77.90％ (16 716/21 459) and 86.60％ (31 459/36 326) in 2014,43.88％ (20 181/45 986),85.52％ (20 709/24 214) and 90.05％ (41 409/45 986) in 2015.The diagnosis accuracy rates of the arrival patients with active pulmonary tuberculosis as well as smear positive pulmonary tuberculosis declined.They were respectively 35.47％ (7406/20 881) and 17.12％ (3574/20 881) in 2009,57.41％(9119/15 885) and 24.25％ (3852/15 885) in 2010,56.62％ (10 327/18 239) and 21.74％ (3966/18 239) in 2011,41.75％ (8591/20 576) and 15.59％ (3207/20 576) in 2012,43.53％ (9322/21 413) and 12.88％ (2757/21 413) in 2013,36.21％ (11 390/31 459) and 10.98％ (3454/314 590 in 2014,35.17％ (4562/41 409) and 11.29％(4676/41 409) in 2015.The contribution rates of non TB institutions for the detection of activity pulmonary tuberculosis patients as well as smear positive pulmonary tuberculosis increased.They were 31.18％ (7406/23 749) and 29.42％ (3574/12 150) in 2009,36.19％ (9119/25 201) and 33.75％ (3852/11 412) in 2010,44.92％ (10 327/22 989)and 42.23％ (3966/9329) in 2011,30.24％ (8591/28 409) and 28.76％ (3207/11 150) in 2012,30.72％(9322/30 346) and 32.60％ (257/8456) in 2013,36.88％ (11 390/30 880) and 43.49％ (3454/7942) in 2014,35.58％ (14 562/32 666) and 61.06％ (4676/7658) in 2015.Therefore,there is still room for improvement for the arrival rate of tuberculosis patient,and the tracing arrival rate and overall arrival rate maintain at a higher level in Xinjiang from 2009 to 2015.