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目的为全面推行结核病防治新型服务体系提供参考依据。方法采用SPSS19.0软件对转型前后各工作指标进行χ~2检验,以P<0.05为差异有统计学意义。结果克拉玛依区活动性肺结核患者平均登记率转型前后分别为40.50/10万和35.32/10万,差异无统计学意义(χ~2=1.75,P>0.05);新涂阳肺结核患者平均登记率转型后(11.22/10万)低于转型前(18.47/10万),差异有统计学意义(χ~2=9.08,P<0.05);转型前后患者发现来源主要以转诊为主,差异无统计学意义(χ~2=0.57,P>0.05);转型前后因症就诊平均构成比分别为19.95%和1.05%,差异有统计学意义(χ~2=17.05,P<0.05);转型前后转诊到位比例分别为98.21%和99.45%,差异无统计学意义(χ~2=0.02,P>0.05);转型前后新涂阳肺结核患者平均治愈率分别为96.34%和96.70%,差异无统计学意义(χ~2=0.00,P>0.05)。结论克拉玛依区实施“三位一体”新型结核病防治服务体系后工作质量总体平稳,但对下滑指标(新涂阳登记率和因症就诊比例)应给予关注。同时,建议加强医疗机构与结防机构的合作,达到传染病的“高发现率、高治愈率”的目标。
Objective To provide a reference for the full implementation of a new service system for prevention and treatment of tuberculosis. Methods Using SPSS19.0 software before and after the transformation of the work of indicators χ ~ 2 test to P <0.05 was considered statistically significant. Results The average registration rate of active pulmonary tuberculosis patients in Kelamayi district was 40.50 / 100,000 and 35.32 / 100,000 respectively before and after the transition, with no significant difference (χ ~ 2 = 1.75, P> 0.05). The average registration rate of patients with newly smear- The difference was statistically significant (χ ~ 2 = 9.08, P <0.05) before and after the transition (11.22 / 100000), compared with that before the transition (18.47 / 100000) (Χ ~ 2 = 0.57, P> 0.05). Before and after the transition, the average morbidity rates of illness and treatment were 19.95% and 1.05%, respectively, with statistical significance (χ ~ 2 = 17.05, P <0.05) (Χ ~ 2 = 0.02, P> 0.05). The average cure rates of newly smear-positive pulmonary tuberculosis before and after transformation were 96.34% and 96.70%, respectively, with no statistical difference Significance (χ ~ 2 = 0.00, P> 0.05). Conclusions The quality of the work in the “Trinity” new tuberculosis prevention and treatment service system in Karamay Prefecture is generally stable. However, attention should be paid to the decline indicators (the rate of new smear registration and the proportion of treatment-oriented patients). At the same time, it is proposed to strengthen the cooperation between medical institutions and prevention and control agencies to achieve the goal of “high detection rate and high cure rate” of infectious diseases.