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目的分析2001-2015年新疆昌吉州及克拉玛依市两地区活动性肺结核患者和涂阳肺结核患者登记及治疗转归情况,为评价两地区肺结核患者发现和治疗工作质量提供科学依据。方法收集新疆昌吉州及克拉玛依市两地区2001-2004年的纸质版《结核病登记管理卡》记录患者登记及2005年后全国结核病网络专报系统报告的肺结核患者的登记和治疗转归资料,采用SPSS 19.0软件分析两地区活动性肺结核患者登记率和新涂阳肺结核患者治愈率的变化。结果 2001-2015年昌吉州和克拉玛依市活动性肺结核患者平均登记率分别为53.43/10万和45.18/10万,差异有统计学意义(χ~2=54.32,P<0.05);新涂阳肺结核患者平均登记率分别为21.80/10万和17.68/10万,差异有统计学意义(χ~2=17.68,P<0.05);新涂阳肺结核患者平均治愈率分别为92.07%和93.63%,差异无统计学意义(χ~2=0.15,P>0.05);涂阴肺结核患者平均完成疗程率分别为94.29%和96.88%,差异无统计学意义(χ~2=0.34,P>0.05)。结论 2001-2015年新疆昌吉州与克拉玛依市两地区活动性肺结核及新涂阳肺结核患者登记率均呈下降趋势,提示两地区的结核病疫情得到了控制;两地区新涂阳肺结核患者平均治愈率均达国家要求,表明两地区患者治疗管理工作较为规范,但克拉玛依市要进一步加强定点医院职责,提高患者发现和治疗管理质量。
Objective To analyze the registration and treatment outcomes of active pulmonary tuberculosis patients and smear positive pulmonary tuberculosis patients in Changji and Karamay from 2001 to 2015 and to provide a scientific basis for evaluating the quality of discovery and treatment of pulmonary tuberculosis patients in the two regions. Methods The data of registration and treatment of tuberculosis patients registered in the paper version of TB registration management card recorded in Changji Prefecture and Karamay City in 2001-2004 and the report of the national tuberculosis network specialization system after 2005 were collected. SPSS 19.0 software was used to analyze the registration rate of active tuberculosis patients and the cure rate of new smear-positive pulmonary tuberculosis patients in both regions. Results The average registration rates of active tuberculosis patients in Changji and Karamay from 2001 to 2015 were 53.43 / lakh and 45.18 / lakh, respectively, with significant difference (χ ~ 2 = 54.32, P <0.05) The average registration rate of patients with smear positive smear positive tuberculosis was 21.80 / 100000 and 17.68 / 100000, respectively, with significant difference (χ ~ 2 = 17.68, P <0.05). The average cure rate of newly smear positive pulmonary tuberculosis was 92.07% and 93.63% There was no statistical significance (χ ~ 2 = 0.15, P> 0.05). The average completion rate of smear-negative pulmonary tuberculosis was 94.29% and 96.88% respectively, with no significant difference (χ ~ 2 = 0.34, P> 0.05). Conclusions The enrollment rates of active tuberculosis and new smear-positive pulmonary tuberculosis patients in Changji and Karamay in Xinjiang between 2001 and 2015 both showed a decreasing trend, which indicated that the tuberculosis outbreak in both areas was controlled. The average cure rate of new smear-positive pulmonary tuberculosis As required by the state, it shows that the treatment and treatment of patients in both regions is more standardized, but the city of Karamay needs to further strengthen the responsibility of designated hospitals and improve the quality of patient discovery and treatment management.