深圳市外来人口肺结核病防治效果及影响因素研究

A study on the effects and affect factors of tuberculosis control in temporary residents of Shenzhen

目的 探讨城市外来人口肺结核管理效果及影响因素。方法 对罗湖区登记的常住人口和外来人口病人的初诊登记本和结核病人登记本及治疗管理卡进行统计分析 ,并对每例病人进行社会经济情况调查。结果 罗湖区外来人口 5 4万 ,是常住人口的 1.8倍 ,1998年度肺结核病登记率为10 9.2 1/ 10万 ,明显高于常住人口 ,而外来人口的肺结核治愈率仅 6 8.9% ,特别是外来人口中的流动人口治愈率仅 35 .6 % ,均明显低于常住人口 (93.1% )。结论 外来人口延误就诊者较多。因工作时间长 ,劳动强度大 ,收入低 ,有社会医疗保险的只占 33.7% ,故丢失率达 2 7.5 %。应加强宣传力度 ,将流动人口纳入地区防痨工作免费项目 。

Objective To study the effects and affecting factors of tuberculosis control in temporary residents of urban district,Shenzhen.Methods To do social and economical investigation to every patient with pulmonary tuberculosis.To analyse the statistics of initially consulting register,county tuberculosis register and treating cards of management.Results There were 540?000 temporary residents in Luohu district in 1998,1.8 times more than the local population.The temporary residents without temporary identification were defined floating population.The registered rate of pulmonary tuberculosis in temporary residents was 109.21/100?000,distinctly higher than that of the local population.The cure rate of pulmonary tuberculosis in temporary residents was 68.9%,evidently lower than the local population (93%).Especially the cure rate of pulmonary tuberculosis in floating population was only 35%.Conclusion The work of 81.1% floating population was heavy and the working hour was long,their wages were low,33.7% pulmonary tuberculosis patients had social medical insurance.Therefore lose rate was 27.5%, most of them prolonged to be diagnosed.The authors suggested that strenghened the propagation power and giving the regional tuberculosis control programme to floating population for free will be benefit in crontrolling the regional tuberculosis.