论文部分内容阅读
目的分析黑河市2009—2011年非结核病防治机构(简称“非结防机构”)网络直报肺结核患者的转诊与追踪情况,提高患者发现效果。方法利用结核病管理信息系统中2009—2011年黑河市非结防机构网络报告肺结核转诊、追踪及核查报表,对4991例需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。结果 2009—2011年黑河市非结防机构网络直报肺结核及疑似肺结核患者转诊到位率分别为45.4%(870/1918)、47.8%(762/1594)和61.1%(904/1479),呈逐年上升趋势(χ2趋势=78.711,P=0.000);追踪到位率分别为91.7%(961/1048)、94.2%(784/832)、86.6%(498/575);总体到位率分别为95.6%(1834/1918)、97.1%(1547/1594)、94.8%(1402/1479);到位活动性肺结核患者检出率为43.0%(2057/4783),涂阳肺结核患者检出率为23.9%(1144/4783);非结防机构对活动性肺结核患者发现的贡献率为50.1%(2057/4107),对涂阳肺结核患者发现的贡献率为46.8%(1144/2446)。结论 2009—2011年黑河市的非结防机构网络直报肺结核患者的转诊到位率呈逐年递增趋势,追踪到位率及总体到位率均维持在较高水平。
Objective To analyze the referral and follow - up of patients with tuberculosis directly reporting to non - tuberculosis prevention and control institutions (referred to as “non - TB institutions”) in Heihe City from 2009 to 2011 so as to improve their findings. Methods The reports of referral, follow-up and check-up of tuberculosis were reported from the network of non-TB prevention and control institutions in Heihe City from 2009 to 2011 in the TB management information system. The referral rate, follow-up rate, overall arrival rate, The detection rate of post-tuberculosis patients and the contribution rate of non-prevention institutions found in patients with pulmonary tuberculosis. Results The referral rates of direct reports of TB patients and suspected TB patients from 2009 to 2011 were 45.4% (870/1918), 47.8% (762/1594) and 61.1% (904/1479), respectively (Χ2 trend = 78.711, P = 0.000). The follow-up rates were 91.7% (961/1048), 94.2% (784/832) and 86.6% (498/575), respectively. The overall odds ratio was 95.6% (1834/1918), 97.1% (1547/1594) and 94.8% (1402/1479) respectively. The detection rate of positive active pulmonary tuberculosis was 43.0% (2057/4783) and smear positive pulmonary tuberculosis was 23.9% 1144/4783). The contribution rates of non-TB prevention and treatment agencies to TB patients were 50.1% (2057/4107) and 46.8% (1144/2446) respectively. Conclusion The referral rate of non-TB prevention and control institutions in Heihe city from 2009 to 2011 was reported to be increasing year by year. The follow-up rate and overall arrival rate were all maintained at a high level.