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目的分析岳阳市2009-2012年非结防机构网络报告肺结核患者的转诊、追踪情况,提升患者发现水平。方法利用结核病管理信息系统中岳阳市2009-2012年定时统计非结防机构网络报告肺结核患者转诊、追踪及核查年报表,对13 242例应转诊患者的转诊到位率、追踪到位率、总体到位率、到位确诊情况及非结防机构患者发现占总肺结核患者发现的比例情况进行分析。结果岳阳市2009-2012年非结防机构网络报告肺结核患者转诊到位率分别为52.7%(1 556/2 955)、67.5%(2 181/3 232)、67.9%(2 284/3 365)和65.8%(2 427/3 690);追踪到位率分别为74.8%(1 023/1 367)、94.1%(977/1 038)、95.9%(1 022/1 066)和97.0%(1 224/1 262),呈逐年上升趋势(x~2=344.9,P<0.05);总体到位率分别为88.4%(2 611/2 955)、98.1%(3 171/3 232)、98.7%(3 321/3 365)和99.0%(3 652/3 690),呈逐年上升趋势(x~2=445.9,P<0.05);到位活动性肺结核患者检出率为37.0%(4 714/12 755);非结防机构活动性肺结核患者发现占总发现比例为27.6%(4 714/17 078),发现新涂阳肺结核患者占总新涂阳发现数的29.6%(2 481/8 392)。结论加强与各级非结防机构的合作,完善患者转诊与追踪体系,提高患者发现水平。
Objective To analyze the referral and follow-up of pulmonary tuberculosis patients from 2009 to 2012 in non-TB prevention and control institutions in Yueyang City and to improve the level of patient discovery. Methods The annual report of referral, follow-up and check-up of tuberculosis patients was reported by the network of regular statistical non-prevention institutions in 2009-2012 in the management information system of tuberculosis in Yueyang City. The referral rate, follow-up rate, The overall rate of arrival, diagnosis of the situation in place and the proportion of cases found in patients with non-TB prevention and treatment of TB were analyzed. Results The referral rates of pulmonary tuberculosis patients in non-TB prevention and cure institutions from 2009 to 2012 in Yueyang were 52.7% (1 556/2 955), 67.5% (2 181/3 232) and 67.9% (2 284/3 365) respectively, And 65.8% (2 427/3 690) respectively. The follow-up rates were 74.8% (1023/1 367), 94.1% (977/1 038), 95.9% (1 022/1 066) and 97.0% (1 224 The overall rate of arrival was 88.4% (2 611/2 955), 98.1% (3 171/3 232) and 98.7% (3) respectively, with a trend of increasing year by year (x 2 = 344.9, P 0.05) 321/3 365) and 99.0% (3 652/3 690), respectively, showing an upward trend year by year (x 2 = 445.9, P <0.05). The detection rate of patients with active pulmonary tuberculosis was 37.0% (4714/12 755) . The proportion of newly diagnosed pulmonary tuberculosis patients was 29.6% (2 481/8 392) of the total positive smear-positive cases found in 27.6% (4 714/17 078) of non-TB institutional active tuberculosis patients. Conclusions Strengthen cooperation with non-prevention agencies at all levels, improve patient referral and follow-up system, and improve the level of patient discovery.