武汉市2004—2010年肺结核患者各项情况分析

Analysis of register, report, referral and follow-up of tuberculosis patients in Wuhan city from 2004 to 2010

目的:了解武汉市肺结核患者登记、转诊及追踪情况,为今后制订结核病控制策略提供基础依据。方法:对武汉市2004—2010年结核病疫情资料进行分析。结果:全市综合医疗机构网络实际直报结核病患者57319例,转诊55768例,转诊到位23859例。结核病防治机构登记肺结核患者46458例,非结防机构肺结核患者追踪到位率、总体到位率分别由2004年的42.0%和71.4%提高到2010年的90.7%和95.5%;转诊到位率却基本维持在40%上下,没有显著提高。结论:武汉市结核患者发现及追踪工作进步明显,结防机构和医疗机构在肺结核患者转诊、追踪工作中的协调、管理需进一步加强。

Objective：To understand the status of register, report,referral and follow-up of tuberculosis patients in Wuhan city, in order to provide basis for formulating tuberculosis controlling strategy. Method：Monthly report form and related data of China TB prevention and control reported by counties and districts from 2004 to 2010 were analyzed and checked. Result：57 319 TB patients had been actually reported from direct network report system of the comprehensive hospitals in Wuhan city from 2004 to 2010, 23 859 cases had visited the Institutes for TB Control and Prevention. The arrival rate of follow-up and the total arrival rate of TB patients in other hospitals and clinics had increased from 42.0 % and 71.4% in 2004 to 90.7% and 95.5 % in 2010. but the referral arrival rate had been around 40%,which had not been improved obviously. Conclusion：Wuhan had made progress obviously in the work of detecting tuberculosis patients and follow-up,but institutes for TB control and prevention and medical institutions must strengthen further in order to coordinate and supervise the work of referral and follow-up of TB patients。