关键词: 结核, 肺/预防和控制, 病人转送, 治疗结果

Abstract: Objective To analyze the transference and treatment outcome of the floating and resident population in 2010. Methods Through TB-specific reporting system in 2010, the transference information and treatment outcome of 31 771 floating and 477 121 resident smear-positive pulmonary TB patients were analyzed. SPSS 17.0 was used to analyze the rate of transferring out, arrival rate, and taking over rate and cure rate. P＜0.05 is considered to be statistical difference. Results In 2010, 1784 cases of floating Pulmonary TB patients were transferred out with the transference rate of 5.6% (1784/31 771), among them, 1253 arrived the receiving institution with an arrival rate of 70.2% (1253/1784), 596 of them were taken over by the receiving institution. The taking over rate was 47.6%（596/1253）.The cure rate of the patients been taken over was 71.6% (427/596). In resident population, 897 smear positive pulmonary TB patients were transferred nationally with the transference rate of 0.2%（897/47712）, 743 arrived the receiving institution with an arrival rate of 82.8%（743/897）, among them, 483 patients were taken over by the receiving institution. The taking over rate was 65.0%(483/743).The cure rate of the patients been taken over was 74.7%（361/483）.The arrival rate of the floating population is lower than that of  the resident population（χ²=88.325, P<0.001）. The cure rate of the patients been taken over by receiving institution in the floating population was lower than that in the resident population（χ²=162.393,  P<0.001）.The cure rate of the re-registered patients in the floating population was lower than that in the resident population（χ²=17.719,  P<0.001）.The differences are all statistically different. In floating population, 1784 patients were transferred,753 patients were cured with a cure rate of 42.2%（753/1784）.In 29987 patients without transfering,27142 patients were cured with a cure rate of 90.5%（27 142/29 987）.The cure rate of the transferred patients was significantly lower than that of the patients who were not transferred （χ²=17 911.166，P<0.001）.In resident population, 897 patients were transferred, 556 patients were cured with a cure rate of 62.0%（556/897）.In 476224 patients without transfering, 443015 patients were cured with a cure rate of 93.0%（443015/476224）. The cure rate of the transferred patients was lower than that of the patients who were not transferred（χ²=180637.032，P<0.001）.Conclusion The arrival rate and the cure rate of the floating population are lower than that of the resident population, therefore we should strength the management of tuberculosis in the floating population.

Key words: Tuberculosis, pulmonary/prevention &, control, Transportation of patients, Treatment ontcome