衢州市麻风病可疑症状“二级转诊”模式的建立与初步应用研究

Construction and application of syndromic surveillance system for suspicious leprosy based on two-level referral in Quzhou

目的探讨建立衢州地区低流行状态下麻风病防治模式。方法以基层医疗为根基,以11条可疑症状为线索,以可疑初筛机构为支撑,以疾病预防控制中心为纽带,建立麻风可疑症状"二级转诊"防治模式。结果建立了衢州市麻风病可疑症状转诊"二级转诊"模式,2012-2015年全市共转诊麻风可疑症状患者526例,发现2例麻风患者,病期均在6个月内,无畸残。结论衢州市麻风病可疑症状"二级转诊"模式运行状况良好,能早期发现麻风患者,降低畸残率,社会效益较好,适宜推广。

Objective To construct a syndromic surveillance system for suspicious leprosy under low epidemic condition in Quzhou. Methods The system was constructed by integrating 11 suspicious syndromes with suspicious leprosy screening hospital and Center for Disease Prevention and Control. Results The syndromie surveillance system for suspicious leprosy was constructed. 526 suspicious patients were successfully referred to the upper level hospital from 2012 to 2015, and 2 leprosy cases were found in 6 months of their diseases by the system without disability. Conclusions The syndromic surveillance system for suspicious leprosy in Quzhou runs well. It plays an important role in early detection and decreasing the disability rate, and it can be popular ized in low epidemic areas.