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目的探讨目前流动人口肺结核患者发现治疗管理现状。方法利用2008年1月1日至12月31日深圳市宝安区流动人口肺结核患者病案、转诊追踪登记本、患者转入和转出登记本建立数据库并进行统计分析。结果 2008年深圳市宝安区共登记流动人口肺结核患者1697例,流动人口肺结核患者构成以新涂阳患者为主,占56.0%(951/1697),患者的来源以转诊为主,占89.4%(1517/1697);患者转诊到位率为32.7%(5554/16988),追踪率高但追踪到位率较低,总体到位率为61.8%(10496/16988);流动人口肺结核患者治疗管理方式以全程督导为主,系统管理率偏低仅为35.0%(594/1697);新涂阳患者2、3月末痰菌阴转率为68.8%(654/951)和79.2%(753/951),成功治疗率为73.6%(700/1105)。结论深圳市宝安区流动人口肺结核防治工作仍有待加强,探索结合流动人口治疗需求的治疗管理新模式是未来工作的重点。
Objective To investigate the current status of treatment and management of pulmonary tuberculosis among floating population. Methods From January 1, 2008 to December 31, 2008, the database of migrant pulmonary tuberculosis patients, referral and referral records, patients transferred into and out of registration database were established and analyzed statistically. Results In 2008, a total of 1697 cases of floating-population pulmonary tuberculosis were registered in Shenzhen Baoan District. The majority of TB patients were newly smear-positive, accounting for 56.0% (951/1697). The source of the patients was referral, accounting for 89.4% (1517/1697). The referral rate of patients was 32.7% (5554/16988). The follow-up rate was high but the follow-up rate was low, with an overall rate of 61.8% (10496/16988). The treatment management of TB patients The rate of sputum negative conversion was 68.8% (654/951) and 79.2% (753/951) respectively at the end of February and March in new smear positive patients, The successful treatment rate was 73.6% (700/1105). Conclusion The prevention and control of TB in floating population in Bao’an District of Shenzhen still needs to be strengthened. It is the focus of future work to explore a new treatment management model that combines the needs of treatment of floating population.