嘉善县外来人口结核病流行特征及管理效果评价

Epidemic characteristics of tuberculosis and evaluation of case management among migrant population in Jiashan county

目的探讨嘉善县外来人口结核病的流行特征和控制管理模式,以提高结核病控制效果。方法采取回顾性分析方法 ,将2006年10月至2007年9月未实施外来流动人口结核病控制项目管理年度与2007年10月至2008年9月实行外来人口结核病控制项目管理后的管理资料进行对比研究。结果外来人口占新发痰涂片阳性（涂阳）肺结核的80%,新发涂阳肺结核病人年龄高峰期为15-44岁,占84.49%。男性患者是女性患者的2.17倍。涂阳肺结核病人职业构成以民工为主,占94.57%。外来人口结核病控制项目实施前后转诊到位率由72.94%上升到97.90%;全程督导率由78.46%提高到96.28%;2月末痰菌阴转率由73.49%提高到88.04%,治愈率由67.47%提高到86.15%。结论通过对外来人口实施流动人口结核病项目的管理模式,转诊到位率、治愈率和人群结核病知识知晓率有了较大提高,对嘉善县的结核病控制管理效果明显。

Objective To explore the epidemic characteristics and evaluate the efficacy of tuberculosis（TB）management among migrant population.Methods The data of TB cases were retrospectively compared in the periods with（October,2007 to September,2008）and without（October,2006 to September,2007）implementation of TB management project for immunization population.Results Eighty percent of new smear-positive cases were from the migrant population.The majority（84.49%）of the new smear-positive patients were 15-44 years old.The ratio of male to female TB patients was 2.17∶1.Migrant-worker was the most common occupation（94.57%）in the smear-positive cases.The referral rate increased from 72.94% to 97.9% with the implementation of the TB management project.The proportion of sputum negative conversion of TB smear test increased from 73.49% to 88.04% in two months and the proportion of cured patients increased from 67.47% to 86.15% with the TB management program.Conclusion The TB management program of the migrant population is efficient in increasing proportions of referral and cure patients in Jiashan county,Zhejiang province.