张思潮, 邱志红, 郑睿智, 董正全, 金玫华. 浙江省湖州市流动人口结核病防治效果分析[J]. 疾病监测, 2014, 29(5): 369-372. DOI: 10.3784/j.issn.1003-9961.2014.05.009
引用本文: 张思潮, 邱志红, 郑睿智, 董正全, 金玫华. 浙江省湖州市流动人口结核病防治效果分析[J]. 疾病监测, 2014, 29(5): 369-372. DOI: 10.3784/j.issn.1003-9961.2014.05.009
ZHANG Si-chao, QIU Zhi-hong, ZHENG Rui-zhi, DONG Zheng-quan, JIN Mei-hua. Evaluation of tuberculosis control in floating population in Huzhou[J]. Disease Surveillance, 2014, 29(5): 369-372. DOI: 10.3784/j.issn.1003-9961.2014.05.009
Citation: ZHANG Si-chao, QIU Zhi-hong, ZHENG Rui-zhi, DONG Zheng-quan, JIN Mei-hua. Evaluation of tuberculosis control in floating population in Huzhou[J]. Disease Surveillance, 2014, 29(5): 369-372. DOI: 10.3784/j.issn.1003-9961.2014.05.009

浙江省湖州市流动人口结核病防治效果分析

Evaluation of tuberculosis control in floating population in Huzhou

  • 摘要: 目的 分析浙江省湖州市全球基金结核病流动人口项目实施前后流动人口结核病防治效果,为进一步加强流动人口结核病防治工作提供依据。 方法 收集湖州市2005年1月至2012年6月登记的流动人口结核病患者资料,以全球基金项目实施后(2008年10月到2012年6月)登记的流动人口结核病患者为研究组,以项目实施前(2005年1月至2008年9月)登记的流动人口结核病患者为对照组,对比分析项目实施前与实施后的患者治疗转归情况。 结果 研究组共登记流动人口结核病患者1596例;对照组共登记流动人口结核病患者1084例。新涂阳肺结核患者治愈率由项目前的81.0%上升到89.2%(2=13.17,P0.01);复治涂阳患者治愈率虽然由65.9%上升为76.4%(2=1.28,P=0.26),但差异无统计学意义;涂阴患者完成疗程率由73.7%上升为90.0%(2=37.88,P0.01)。年龄组中,44岁以下新涂阳患者的研究组及对照组治愈率差异有统计学意义(2=13.34,P0.01);涂阴患者在不同年龄组的研究组及对照组治疗完成率差异均有统计学意义。不同职业分类,新涂阳肺结核患者中,民工的研究组与对照组治愈率差异有统计学意义(2=13.64,P0.01);涂阴患者,除服务业,其他职业研究组与对照组治愈率差异均有统计学意义。 结论 通过项目实施,流动人口的结核病患者治疗转归情况具有很大改善,有针对性地进行干预,可有效提高结核病控制效果。

     

    Abstract: Objective To evaluate the effects of tuberculosis (TB) control in floating population before and after the implementation of global fund TB control project in Fuzhou and provide evidence for the further improvement of TB control in this population. Methods The registering data of TB patients in floating population from January 2005 to June 2012 were collected. The TB patients registered after the implementation of global fund TB control project (October 2008-June 2012) were divided into study group and those registered before the implementation of global fund TB control project (January 2005-Sebtember 2008) were divided into control group to compare their outcomes. Results The study group included 1596 TB patients, and the control group included 1084 TB patients. The cure rate of new smear positive patients increased from 81.0% to 89.2% (2=13.17, P0.01). The cure rate of retreated patients increased from 65.9% to 76.4%, but the difference had no statistical significance (2=1.28,P=0.26). The fully treatment rate of smear-negative patients increased from 73.7% to 90.0% (2=37.88, P0.01). The difference in cure rate of new smear positive TB patients aged44 years between study group and control group was statistical significant (2=13.34, P0.01). The difference in fully treatment rate of smear negative TB patients in all age group between two groups were statistical significant. The differences in cure rate of the patients in migrant workers between two groups had statistical significance (2=13.64, P0.01). The difference in cure rate of sputum smear negative patients between two groups, except the patients engaged in service work, was statistical significant. Conclusion The outcomes of TB patients in floating population in Huzhou has been greatly improved since the implementation of TB control. Targeted intervention is effective in TB control.

     

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