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目的分析广西2008-2011年登记为丢失的新涂阳肺结核患者的基本特征,为更好的开展结核病防控工作提供参考。方法从中国结核病信息管理系统中导出广西2008-2011年登记为丢失的新涂阳肺结核患者的病案资料进行分析。结果广西2008-2011年登记为丢失的新涂阳肺结核患者共313例,年平均丢失率为0.54%。患者多数为农民(70.0%)、男性(80.8%)和汉族(70.9%)人群,年龄集中在25～54岁(52.4%),主要来源于转诊(51.8%);98.4%的患者诊断为Ⅲ型结核病,胸部影像学检查结果多无空洞(占69.3%)、无粟粒(占98.4%);74.4%患者确诊时间>14 d,61.3%患者治疗时间≤2个月。各年患者的基本情况和诊治情况构成差异均无统计学意义(均有P>0.05);各年患者的户籍构成差异有统计学意义(均有P<0.05);2008年后外地户籍与本地户籍患者丢失率差异有统计学意义(均有P<0.05)。结论应重点加强对中青年男性农民患者的全程治疗管理和健康教育工作,不断提高流动人口患者的治疗管理水平。
Objective To analyze the basic characteristics of newly smear-positive pulmonary tuberculosis patients registered as missing from 2008 to 2011 in Guangxi and provide references for better prevention and control of tuberculosis. Methods The data of the cases of newly smear-positive pulmonary tuberculosis registered as missing from 2008 to 2011 in Guangxi were derived from China’s tuberculosis information management system. Results A total of 313 new smear-positive pulmonary tuberculosis patients were registered as missing from 2008 to 2011 in Guangxi, with an average annual loss rate of 0.54%. The majority of patients were peasants (70.0%), males (80.8%) and Han (70.9%), with the age ranged from 25 to 54 years (52.4%), mainly from referrals (51.8%); 98.4% were diagnosed as Type Ⅲ tuberculosis, chest imaging examination results more than no cavity (69.3%), no miliary (98.4%); 74.4% of patients diagnosed more than 14 days, 61.3% of the patients with treatment time ≤ 2 months. There was no significant difference in the basic conditions and the diagnosis and treatment of patients in each year (all P> 0.05). There were significant differences in the household registration forms between the two groups (all P <0.05). After 2008, There was significant difference in the loss rate of household registration (all P <0.05). Conclusion We should focus on strengthening the whole course of treatment management and health education for young and middle-aged peasant patients and continuously improve the treatment and management level of the floating population patients.