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莆田市结核病防治服务模式对患者发现和治疗转归影响

Effect of tuberculosis prevention and control service mode on patient detection and treatment outcome,Putian city
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摘要 目的了解莆田市结核患者发现与治疗结果,为进一步完善防治服务模式提供依据。方法收集莆田市2012~2019年结核病相关报表,对比分析"三位一体"结核病防治服务模式转型前后数据指标。结果2012~2019年莆田市登记活动性肺结核患者10358例,年均登记率为45.11/10万,涂阳患者4868例(占47.00%),年均登记率为21.20/10万;患者来源中以转诊4883例(47.14%)为主;疑似肺结核患者总体到位20745例,总体到位率为88.46%;成功治疗活动性肺结核患者10655例,成功治疗率为88.52%,涂阳患者治愈率为89.28%。服务模式转型后活动性肺结核患者平均登记率从49.01/10万下降到41.29/10万、转诊所占比例从39.58%上升到55.93%、总体到位率从97.03%下降到83.16%、成功治疗率从93.35%下降到82.82%,差异均有统计学意义(P<0.01)。结论莆田市结核病防治服务模式转型后部分发现和治疗转归指标下滑。 Objective To understand the results of detection and treatment of tuberculosis patients in Putian city,so as to provide basis for further improving the prevention and control service mode.Methods The tuberculosis related reports during 2012-2019 were collected in Putian city,and the data indicators before and after the transformation of the"Trinity"tuberculosis prevention and treatment service model were comparatively analyzed.Results From 2012 to 2019,10358 active pulmonary tuberculosis patients were registered in Putian city,with an average annual registration rate of 45.11/105,and 4868 cases were smear positive patients(47.00%),with an average annual registration rate of 21.20/105;4883 patients(47.14%)were referred as the main source of patients;20745 patients were suspected of tuberculosis,with an overall arrival rate of 88.46%;10655 patients with active pulmonary tuberculosis were successfully treated,with a successful treatment rate of 88.52%and the cure rate of smear positive patients was 89.28%.After the transformation of service mode,the average registration rate of active tuberculosis patients decreased from 49.01/105 to 41.29/105,the referral proportion increased from 39.58%to 55.93%,the overall arrival rate decreased from 97.03%to 83.16%,and the successful treatment rate decreased from 93.35%to 82.82%,the differences were statistically significant(P<0.01).Conclusion After the transformation of tuberculosis prevention and treatment service mode in Putian city.
作者 佘丽花 施碧莲 SHE Li-hua;SHI Bi-lian(Putian City Center for Disease Control and Prevention,Putian,Fujian,351100,China)
出处 《预防医学论坛》 2021年第1期63-65,共3页 Preventive Medicine Tribune
关键词 结核病 服务模式 患者发现 治疗转归 Tuberculosis Service mode Patient detection Treatment outcome
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