结核病信息管理系统在结核控制中的作用

Role of Tuberculosis Information Management System in Tuberculosis Control

目的探讨河南省济源市结核病信息管理系统在结核病控制和规范管理中的作用。方法收集1997-2011年运行结核病管理信息系统前后济源市疑似肺结核患者转诊到位情况以及肺结核患者的诊断、治疗、转归等资料,进行对比分析。结果抗结核药品专项管理前分析肺结核患者1 805例,专项管理后分析患者3 650例;专项管理前与后患者取药延迟率分别为19.28%和12.84%,成功治疗率分别为81.99%和90.99%,涂阳患者治愈率分别为85%的90.33%;总体规则治疗率分别为76.95%和87.68%;两组间差异有统计学意义(P<0.01)。结论济源市应用结核病信息管理系统后,对结核病患者转诊到位及诊断、治疗、转归都有极大的促进作用。

Objective To explore the role of tuberculosis （TB） management information system in TB control and standardized management. Methods Data of referral TB - suspected patients during 1997 - 2011 before and after TB management information system regarding aspects of referral in place, TB diagnosis, treatment and outcome ; Z 2 test was adopted to analyze the data. Results Before anti - TB drugs under special manage- ment, 1805 cases of patients were analyzed and after the special management, the delay rate of 3650 cases were analyzed after the management. Before and taking medicine were 19.28% and 12. 84%, the successful treatment rate were 81.99% and 90. 99%, the smear - positive patients cure rates were 85% 90.33% and the general rules of treatment were 76.95% and 87.68% respectively. Comparison between the two groups all showed statistical difference （ P 〈 0. O1 ）. Conclusion After application of TB management information system, referral of TB patients in place, diagnosis, treatment and outcome all has been greatly promoted.