2010年全国流动和常驻人口涂阳肺结核患者转出与治疗管理结局的对比分析

Comparative analysis of the transference and treatment outcome of the smear positive TB patients in the floating and resident population in 2010

目的分析2010年全国流动和常驻人口涂阳肺结核患者转出和治疗管理结局。方法利用2010年全国结核病网络专报系统资料,对31 771例流动人口和477 121例常驻人口涂阳肺结核患者中患者转出信息和治疗管理的转归信息进行分析,利用SPSS 17.0统计软件对比分析患者转出率、到位率、代管率和治愈率,P<0.05表示差异有统计学意义。结果2010年,全国登记流动人口肺结核患者转出1784例,转出率为5.6%(1784/31 771);转出患者到位1253例,到位率为70.2%(1253/1784);到位的患者由接收机构代管596例,代管率47.6%(596/1253);代管患者治愈427例,治愈率为71.6%(427/596)。在全国登记的常驻人口涂阳肺结核患者转出897例,转出率为0.2%(897/477 121);转出患者到位743例,到位率82.8%(743/897);到位的患者由接收机构代管483例,代管率为65.0%(483/743);代管患者治愈361例,治愈率74.7%(361/483)。流动人口涂阳肺结核患者转出到位率低于常驻人口(χ2=88.325,P<0.001),流动人口转出到位患者中由接收机构代管的患者的治愈率低于常驻人口(χ2=162.393,P<0.001),重新登记的患者中流动人口的治愈率低于常驻人口(χ2=17.719,P<0.001),差异均具有统计学意义。流动人口中转出1784例,治愈753例,治愈率为42.2%(753/1784)。未转出患者29 987例,治愈27 142例,治愈率为90.5%(27 142/29 987)。转出患者的治愈率低于未转出患者,差异具有统计学意义(χ2=17 911.166,P<0.001)。常驻人口患者中转出897例,治愈556例,治愈率为62.0%(556/897),未转出患者476 224例,治愈443 015例,治愈率为93.0%(443 015/476 224),转出患者治愈率低于未转出患者治愈率,差异具有统计学意义(χ2=180 637.032,P<0.001)。结论流动人口涂阳肺结核患者的转出到位率及治愈率均低于常驻人口,应进一步加强对流动人口肺结核的管理。

Objective To analyze the transference and treatment outcome of the floating and resident population in 2010. Methods Through TB-specific reporting system in 2010,the transference information and treatment outcome of 31771 floating and 477121 resident smear-positive pulmonary TB patients were analyzed.SPSS 17.0 was used to analyze the rate of transferring out,arrival rate,and taking over rate and cure rate.P〈0.05 is consi-dered to be statistical difference. Results In 2010,1784 cases of floating Pulmonary TB patients were transferred out with the transference rate of 5.6%（1784/31771）,among them,1253 arrived the receiving institution with an arrival rate of 70.2%（1253/1784）,596 of them were taken over by the receiving institution.The taking over rate was 47.6%（596/1253）.The cure rate of the patients been taken over was 71.6%（427/596）.In resident population,897 smear positive pulmonary TB patients were transferred nationally with the transference rate of 0.2%（897/47712）,743 arrived the receiving institution with an arrival rate of 82.8%（743/897）,among them,483 patients were taken over by the receiving institution.The taking over rate was 65.0%（483/743）.The cure rate of the patients been taken over was 74.7%（361/483）.The arrival rate of the floating population is lower than that of the resident population（χ2=88.325,P〈0.001）.The cure rate of the patients been taken over by receiving institution in the floating population was lower than that in the resident population（χ2=162.393,P〈0.001）.The cure rate of the re-registered patients in the floating population was lower than that in the resident population（χ2=17.719,P〈0.001）.The differences are all statistically different.In floating population,1784 patients were transferred,753 patients were cured with a cure rate of 42.2%（753/1784）.In 29987 patients without transfering,27142 patients were cured with a cure rate of 90.5%（27142/29987）.The cure rate of the transferred patients was significantly lower than that of the patients who were not transferred（χ2=17911.166,P〈0.001）.In resident population,897 patients were transferred,556 patients were cured with a cure rate of 62.0%（556/897）.In 476224 patients without trans-fering,443015 patients were cured with a cure rate of 93.0%（443015/476224）.The cure rate of the transferred patients was lower than that of the patients who were not transferred（χ2=180637.032,P〈0.001）. Conclusion The arrival rate and the cure rate of the floating population are lower than that of the resident population,therefore we should strength the management of tuberculosis in the floating population.