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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (7): 584-587.doi: 10.3969/j.issn.1000-6621.2014.07.013

• 论著 • 上一篇    下一篇

2009—2012年深圳市南山区非结核病防治机构报告疑似肺结核患者到位情况分析

钟涛 丁一 王健 郭旭君 黄垚 吴国华 黄金城 黄映东   

  1. 518054 深圳市南山区慢性病防治院结核病防治科
  • 收稿日期:2014-01-02 出版日期:2014-07-10 发布日期:2014-08-07
  • 通信作者: 王健 E-mail:nsjfk@163.com

Analysis of arrival situation of suspected pulmonary tuberculosis patients reported by non-tuberculosis control institutions from 2009 to 2012 of Nanshan district, Shenzhen

ZHONG Tao, DING Yi, WANG Jian, GUO Xu-jun, HUANG Yao, WU Guo-hua, HUANG Jin-cheng, HUANG Ying-dong   

  1. Department of Tuberculosis Control and Prevention，Shenzhen Nanshan Center for Chronic Disease Control，Shenzhen  518054, China
  • Received:2014-01-02 Online:2014-07-10 Published:2014-08-07
  • Contact: WANG Jian E-mail:nsjfk@163.com

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摘要： 目的 分析南山区非结核病防治机构（简称“非结防机构”）报告疑似肺结核患者到位情况，探索提高非结防机构报告疑似肺结核患者总体到位率的方法。 方法 收集2009年1月至2012年12月10 520例深圳市南山区结核病管理信息系统中非结防机构报告疑似肺结核患者，对这些患者的转诊、到位、未到位数据资料进行线性趋势性χ2检验分析，以P<0.05为差异有统计学意义。 结果 2009—2012年深圳市南山区非结防机构对疑似肺结核患者的转诊到位率分别为55.76%（1709/3065）、50.90%（1470/2888）、49.21%（1149/2335）、50.45%（1126/2232）；追踪到位率分别为57.11%（699/1224）、49.29%（521/1057）、56.39%（375/665）、63.79%（303/475）；总体到位率分别为82.87%（2540/3065）、81.44%（2352/2888）、87.58%（2045/2335）、92.29%（2060/2232）。转诊到位率逐年呈下降趋势（χ2趋势=17.89, P<0.001），而追踪到位率（χ2趋势=4.04, P<0.05）和总体到位率（χ2趋势=113.31, P<0.001）均呈上升趋势。 结论 通过采取综合干预措施，规范疑似肺结核患者转诊报告和追踪流程，使2009—2012年深圳市南山区非结防机构报告疑似肺结核患者的总体到位率逐年上升。

关键词: 结核,肺/预防和控制, 转诊和会诊, 深圳市

Abstract: Objective  To analyze the arrival situation of the suspected pulmonary tuberculosis patients reported by non-tuberculosis control institutions of Nanshan district, and explore the methods to improve the arrival rate. Methods  Data of arrival situation on referral-report and arrival of 10520 suspected pulmonary tuberculosis patients reported by non-tuberculosis institutions from January 2009 to December 2012 of Nanshan district were collected and analyzed with Chi-square trend test. The difference of P<0.05 was considered statistically significant.  Results The referral arrival rate were respectively 55.76%（1709/3065）,50.90%（1470/2888）,49.21%（1149/2335）and 50.45%（1126/2232）, the tracking arrival rate were respectively 57.11%（699/1224）,49.29%（521/1057）,56.39%（375/665） and 63.79%（303/475）, and the overall arrival rate were respectively 82.87%（2540/3065）,81.44%（2352/2888）,87.58%（2045/2335）and 92.29%（2060/2232）of suspected pulmonary tuberculosis patients reported by non-tuberculosis control institutions from 2009 to 2012 of Nanshan district. The referral arrival rate showed a declining trend（χ2trend=17.89, P<0.001）, while the tracking arrival rate and overall arrival rate had an increasing trend (respectivelyχ2trend=4.04, P<0.05 andχ2trend=113.31, P<0.001).  Conclusion By taking the comprehensive interventions, and standardizing the referral and tracking procedure of the suspected pulmonary tuberculosis patients, the overall arrival rate showed an increasing trend from January 2009 to December 2012 in Nanshan district.

Key words: Tuberculosis, pulmonary/prevention and control, Referral and consultation, Shenzhen city

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