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目的分析非结核病防治机构(简称“非结防机构”)报告肺结核或疑似肺结核患者(包括本报本和外报本)到位情况,探讨提高患者发现效果。方法收集2009—2013年渭南市结核病专报系统中非结防机构报告的10 561例肺结核或疑似肺结核患者的信息,对患者的转诊、到位、未到位数据进行线性趋势性χ2检验,以P<0.05为差异有统计学意义。结果 2009—2013年非结防机构对肺结核或疑似肺结核患者的转诊到位率为分别62.08%(1 280/2 062)、66.88%(1 383/2 068)、60.98%(1 277/2 094)、70.85%(1 602/2 261)、73.89%(1 534/2 076);追踪到位率分别为67.51%(505/748)、82.23%(560/681)、85.33%(692/811)、85.41%(562/658)、80.22%(434/541),外报本占所有追踪未到位比例分别为95.06%(213/243)、85.12%(103/121)、94.12%(112/119)、90.63%(87/96)、91.59%(98/107);总体到位率分别为88.32%(1 819/2 062)、94.15%(1 947/2 068)、94.32%(1 975/2 094)、95.75%(2 165/2 261)、94.85%(1 969/2 076)。转诊到位率(χ2趋势=66.38,P<0.01)、追踪到位率(χ2趋势=25.63,P<0.01)和总体到位率(χ2趋势=89.04,P<0.01)均呈逐年上升趋势;外报本占所有追踪未到位比例,无明显下降趋势(χ2趋势=1.59,P>0.05)。结论 2009—2013年渭南市非结防机构网络直报肺结核或疑似肺结核患者的转诊、追踪及总体到位率逐年上升;外报本患者追踪未到位人数占所有追踪未到位患者的比例一直居高不下。
Objective To analyze the situation of patients with tuberculosis or suspected pulmonary tuberculosis (including the newspaper and the external newspaper) reported by the non-tuberculosis prevention and control agency (referred to as “non-prevention and defensive institution”) to explore ways to improve their findings. Methods The data of 10 561 patients with pulmonary tuberculosis or suspected pulmonary tuberculosis reported by the non-prevention and control institutions in the TB system of Weinan from 2009 to 2013 were collected. The linear trend χ2 test was performed on the referral, <0.05 for the difference was statistically significant. Results The referral rates of non-TB units to TB patients or suspected TB patients from 2009 to 2013 were 62.08% (1 280/2 062), 66.88% (1 383/2 068) and 60.98% (1 277/2 094 respectively) ), 70.85% (1 602/2 261) and 73.89% (1 534/2 076) respectively. The follow-up rates were 67.51% (505/748), 82.23% (560/681), 85.33% (692/811) , 85.41% (562/658) and 80.22% (434/541) respectively, accounting for 95.06% (213/243), 85.12% (103/121), 94.12% (112/119) ), 90.63% (87/96) and 91.59% (98/107), respectively. The overall rates were 88.32% (1819/2 062), 94.15% (1947/2 068) and 94.32% (1 975/2 094), 95.75% (2 165/2 261), 94.85% (1 969/2 076). The follow-up rate (χ2 trend = 25.63, P <0.01) and overall arrival rate (χ2 trend = 89.04, P <0.01) showed an upward trend year by year; The proportion of all trackers did not reach the place, no significant downward trend (χ2 trend = 1.59, P> 0.05). Conclusion The referral, follow-up and overall arrival rate of non-TB prevention and control agencies in Weinan City from 2009 to 2013 were directly reported to refer to, follow-up and overall arrival rate of TB patients. The reported number of non-arrival follow-up patients in this report was consistently high No less