“三位一体”防治模式在潜江市结核病患者管理中的实施效果分析

Analysis of the effect of "trinity" prevention model on tuberculosis patient management in Qianjiang City

目的分析潜江市结核病患者实施“三位一体”防治模式管理的效果。方法选择2017年1~12月期间120例结核病初诊患者作为对照组,选择2018年1~12月期间120例结核病初诊患者作为观察组,对照组患者采用既往的结核病防治模式予以管理,观察组患者采用“三位一体”防治模式予以管理,比较两组结核病患者在不同结核病防治模式管理下的肺结核总发病人数、涂阳肺结核患病人数、涂阴肺结核患病人数、新涂阳肺结核患病人数及涂阳肺结核患者治愈率、涂阴肺结核患者治愈率、疗程完成率等转归情况。结果观察组患者实施“三位一体”防治模式管理后的肺结核总发病人数、涂阳肺结核患病人数及新涂阳肺结核患病人数与对照组比较均明显减少(P<0.05);观察组患者实施“三位一体”防治模式管理后的涂阳肺结核患者治愈率、涂阴肺结核患者治愈率、疗程完成率均明显高于对照组(P<0.05)。结论结核病患者实施“三位一体”防治模式管理可明显降低肺结核发病率,提高肺结核患者治愈率,值得广泛应用。

Objective To analyze the effect of "trinity" prevention and control mode on tuberculosis patient management of Qianjiang City. Methods 120 cases of newly diagnosed tuberculosis patients from January 2017 to December 2017 were recruited into the control group,and 120 cases of newly diagnosed tuberculosis patients from January 2018 to December 2018 were recruited into the observation group. The control group patients were managed by the previous tuberculosis prevention and treatment model,while the patients in the observation group were managed by the “trinity” prevention mode.The total incidence of tuberculosis in the two groups of tuberculosis patients under different tuberculosis control modes was compared.In addition,the number of patients with smear positive tuberculosis,the number of patients with smear-negative tuberculosis,the number of patients with new smear-positive tuberculosis,as well as the cure rate of smear-positive patients,the cure rate of smear-negative tuberculosis patients,and the completion rate of treatment in the two groups under the management of different tuberculosis prevention and treatment modes were calculated and compared. Results The total number of tuberculosis patients,the number of patients with smear-positive pulmonary tuberculosis,and the number of new smear-positive pulmonary tuberculosis patients in the observation group were significantly lower than those in the control group( P <0.05).The cure rate of smear-positive pulmonary tuberculosis patients,the cure rate of smear-negative pulmonary tuberculosis patients,and the completion rate of treatment in the observation group were significantly higher than those in the control group( P <0.05). Conclusion The implementation of the "trinity" prevention and treatment model for tuberculosis patients can significantly reduce the incidence of tuberculosis and improve the cure rate of tuberculosis patients,which is worthy of wide application.