结核病与肺部健康杂志 ›› 2015, Vol. 4 ›› Issue (2): 85-88.doi: 10.3969/j.issn.2095-3755.2015.02.002

• 论著 • 上一篇    下一篇

合肥市全球基金流动人口结核病防治项目实施效果评价

王莉丽,陈伟,鲍远松,张欢   

  1. 合肥市疾病预防控制中心结核病防治科
  • 收稿日期:2014-01-29 出版日期:2015-06-14 发布日期:2015-06-14
  • 通信作者: 王莉丽,Email:hfcdcjfkwll@126.com
  • 基金资助:
    230061 中国第八轮全球基金流动人口结核病项目(CHN-809-G12-T)

Discussion on the effect of Global Fund Tuberculosis Project on floating population in Hefei City

WANG Li-li, CHEN Wei,BAO Yuan-song,ZHANG Huan   

  1. Tuberculosis and Control Division in Hefei Center for Disease Control and Prevention, Hefei 230061, China
  • Received:2014-01-29 Online:2015-06-14 Published:2015-06-14
  • Contact: WANG Li-li,Email:hfcdcjfkwll@126.com

摘要: 目的 了解合肥市实施全球基金流动人口结核病防治项目在患者发现和治疗管理方面的效果。方法 采用“合肥市全球基金流动人口结核病项目季度报表”及“结核病信息管理系统”的数据,对2010年7月至2012年6月发现的流动人口275例。结核病患者登记和来源、跨区域患者治疗和转归信息进行分析,同时与同期登记的户籍人口5 019 461名(来源于2010年全国人口普查资料)的结核病患者信息进行对比分析,采用χ2检验比较差异并探讨其原因,以P<0.05为差异有统计学意义。结果 两年全球基金流动人口结核病防治项目共发现流动人口结核病患者275例,登记率40.26/10万(275/683 005)。其中涂阳登记率17.42/10万(119/683 005),涂阴登记率21.52/10万(147/683 005)。与同期户籍人口发现结核病患者登记率[151.77/10万(7618/5 019 461)]比较,差异有统计学意义(χ2=540.8,P<0.01)。流动人口患者来源以转诊为主,占73.45%(202/275);其中健康体检发现患者占6.55%(18/275),明显高于户籍人口的3.29%(251/7618),差异有统计学意义(χ2=136.29,P<0.01)。合肥市的流动人口患者主要来源于合肥市郊县[38.46%(106/275)]和安徽省内其他县(区)[34.07%(94/275)]。跨区域患者管理显示,流动人口患者转出率达到23.64%(65/275),转入率8.73%(24/275),转出、转入患者到位率分别为89.23%(58/65)和95.83%(23/24),差异无统计学意义(χ2=0.3013, P>0.05)。流动人口肺结核患者的治疗转归,在本地治疗和转到外地治疗的成功治疗率分别为91.71%(199/217)和58.62%(34/58),差异有统计学意义(χ2=38.713, P<0.01)。结论合肥市实施全球基金流动人口项目取得了较好的成效,初步掌握了流动人口肺结核患病特征及来源,为下一步更好地治疗管理流动人口患者打下坚实的基础。

Abstract: Objective To understand the effect for The Global Fund TB Project (GFTP) in patients detection and treatment management of the floating population in Heifei city, Anhui province, China.Methods Use the quarterly statement of the GFTP and Tuberculosis Information Systems (TBIS),to analyze the patients detection, treatment outcome and cross-regional management between 275 floating population tuberculosis patients (originated from quarterly statement) and 5 019 461 registered population (the 2010 census data) among July 2010 to June 2012, then using χ2 test to compare the differences about household registered patients, and to explore the reasons for P<0.05 was considered statistically significant.Results Two hundred and severty five floating population tuberculosis patients were found during the program in two years, the registered rate is 40.26/100 000 (275/683 005). Among it, the registered rate of new sputum smear positive is 17.42/100 000 (119/683 005), the registered rate of new sputum smear negative is 21.52/100 000 (147/683 005), the registered rate of resident tuberculosis patients is 151.77/100 000 (7618/5 019 461), the difference was statistically significant (χ2=540.8, P<0.01). Patient population flows mainly from suburban 38.46% (106/275) and the province 34.07% (94/275) in Hefei. Patient management across the region shows that the floating population of patients transferred out rate 23.64% (65/275), turn rate 8.73% (24/275), turn the place into the patient rates were 89.23% (58/65) and 95.83% (23/24),the diffe-rence was not statistically significant (χ2=0.3013, P>0.05).Treatment and outcome of floating population patients with pulmonary tuberculosis, for locally and overseas to achieve successful treatment rates were 91.71% (199/217) and 58.62% (34/58), the difference was statistically significant (χ2=38.713,P<0.01).Conclusion GFTP has achieved good results in Hefei, the feature of patients among floating population was grasped preliminary,the finding level and successful treatment rate was improved, and insist to the floating population in the discovery is necessary to complete the treatment.