2006年太原市肺结核患者到位情况分析

Availability of tuberculosis patients in Taiyuan in 2006

目的了解2006年太原市非结核病防治机构网络直报肺结核患者的到位情况,探求提高肺结核患者到位率的途径。方法根据2006年太原市《山西省结核病防治规划月报表》及《中国结核病控制工作月报表》提供的数据,进行肺结核患者的登记、转诊、追踪、到位情况的统计分析。结果2006年太原市肺结核患者转诊到位率30.3%,涂阳肺结核患者的转诊到位率40.4%,转诊未到位患者的追踪到位率64.8%,涂阳患者的追踪到位率84.9%。追踪未到位患者中其他原因(地址不详或查无此人)占到70.5%。辖区内1例患者未追踪。结论加强对综合医院相关医生的培训,严把报卡质量关,充分调动结防人员的工作积极性,加大结核病知识的宣传,可以提高肺结核患者的到位率。

Objective The study was conducted to investigate the availability of tuberculosis patients to the direct reporting network system of non-tuberculosis prevention and control agencies in Taiyuan in 2006, in order to raise the availability of tuberculosis patients. Methods The registration, referral, tracking and availability of tuberculosis patients was statistically summarized and analyzed based on the data from ＂Monthly Statement on Tuberculosis Prevention and Control Planning in Shanxi Province,＂ and ＂China＇s Monthly Statement on TB Control＂ in 2006. Results The referral availability was 30.3% among tuberculosis patients and 40.4% among smear-positive tuberculosis patients in 2006. The tracking availability was 64.8% among referral-unavailable patients and 84.9% among smear positive patients. The ＂others＂ causes （address unknown or person not found） of tracking unavailability accounted for 70.5% of all causes. One patient was not followed up in the area. Conclusion The availability of tuberculosis patients can be improved by strengthening the medical training in integrated hospitals, strictly managing the quality of card reporting process, initiating the enthusiasm of related professionals, and publicizing TB-related knowledge.