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目的了解2005-2013年上海市金山区流动人口结核病患者特征。方法对2005-2013年金山区结防机构登记的流动人口结核病患者进行分析。结果 2005-2013年年累计登记流动人口活动性结核病患者854例,年均登记率为54.78/10万;各年间涂阳、涂阴结核病患者构成比差异有统计学意义;以工人和农民、民工中青年男性为主;因症就诊和转诊为患者主要发现方式;患者原籍以安徽、四川省为主;就诊总延迟率为51.87%,确诊总延迟率为75.64%。结论近年来金山区流动人口结核病防治工作取得一定的成效,应将中青年男性,工人、农民和民工者作为防治和健康教育的重点,同时完善流动人口医疗保障制度,加大其疾病诊疗费用的报销力度。
Objective To understand the characteristics of TB patients in floating population in Jinshan District of Shanghai from 2005 to 2013. Methods The TB patients with floating population registered in Jinshan District of Jinshan from 2005 to 2013 were analyzed. Results A total of 854 active tuberculosis patients were registered in the floating population from 2005 to 2013, with an average annual enrollment rate of 54.78 / 100 000. There were significant differences in the constituent ratios of smear-positive and smear-negative TB patients in each year among the workers, peasants and migrant workers Young and middle-aged males; the main symptoms and the referral of the patients were mainly from Anhui and Sichuan Provinces; the total delay rate was 51.87% and the total confirmed delay rate was 75.64%. Conclusion In recent years, the TB prevention and treatment of floating population in Jinshan District has achieved some success. Young and middle-aged men, workers, peasants and migrant workers should be the focus of prevention and health education, improve the medical security system for migrants and increase the cost of disease diagnosis and treatment Reimbursement efforts.