“三位一体”服务模式在结核病预防控制中的应用研究

Application of "Trinity" service mode in tuberculosis prevention and control

目的探讨"三位一体"服务模式在结核病预防控制中的效果。方法分别选取2014-2015年旧防治模式下的全市医疗机构结核病门诊收治的100例结核病初诊患者和2016-2017年"三位一体"新模式下的100例结核病初诊患者作为研究对象,就患者发病情况、涂阳肺结核数、新涂阳肺结核数以及转归情况进行统计分析。结果与旧防治模式期间相比,在"三位一体"新模式下,肺结核发病率、涂阳肺结核数和新涂阳肺结核数均明显降低,相比有统计学差异(P<0.05);此外,"三位一体"新模式结核病防治措施实施期间,结核病治愈率明显提高,与旧防治模式期间相比有统计学差异(P<0.05)。结论 "三位一体"服务模式应用于结核病预防控制中有助于降低肺结核发病率,提高肺结核患者治愈率,是一种值得推广应用的结核病防治管理方法。

Objective To explore the effect of ＂Trinity＂ service model in tuberculosis prevention and control. Methods100 cases of newly diagnosed TB patients were selected from tuberculosis outpatient medical institutions in the city under the old control mode of 2014-2015 years and 2016-2017 years ＂three-in-one＂ under the new mode of 100 cases of newly diagnosed TB patients as the research object, the incidence and the number of patients with smear positive pulmonary tuberculosis and new smear positive pulmonary tuberculosis and outcome were statistical analysis. Results compared with the control during the old mode, in the ＂three-in-one＂ under the new model, the incidence of tuberculosis, tuberculosis and new smear positive pulmonary tuberculosis were significantly reduced, there is significant difference compared（P0.05）; in addition, the ＂three-in-one＂ new model of tuberculosis prevention and control measures during the implementation, TB cure rate was significantly increased there were significant differences, compared with the old period control model（P0.05）. Conclusion the application of ＂Trinity＂ service model in tuberculosis prevention and control is helpful to reduce the incidence of pulmonary tuberculosis and improve the cure rate of tuberculosis patients, and it is a kind of tuberculosis management method worthy of popularization and application.