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目的了解深圳市宝安区流动人口结核病疫情特征、治疗管理现状和存在的问题。方法收集了2004—2007年宝安区慢性病防治院登记的结核病患者的个案数据库资料,登记患者3027例,其中常驻人口患者796例,流动人口患者2231例,分析流动人口结核病疫情特征;通过定性访谈方法,访谈了结核病患者9例,结核病门诊和防治医生6名,负责流动人口结核病防治管理的卫生行政和业务部门领导和专家10名,分析了流动人口结核病患者的卫生需求、求医行为,结核病诊断、治疗管理和防治政策方面的现状、问题和建议。结果 2004—2007年宝安区登记的流动人口患者是常驻人口患者的2.8倍(2231/796)。流动人口患者因症就诊比例平均为6.05%(135/2231),转诊比例平均为93.32%(2082/2231)。流动人口新涂阳患者以15～45岁为主,平均为93.80%(1739/1854)。流动人口新涂阳患者督导管理以全程督导为主,2007年为97.93%(663/677),3个月末累计痰菌阴转率为92.99%(1724/1854),由于疗程结束时无转归结果患者比例高,新涂阳患者的治愈率平均为46.33%(859/1854)。结论深圳市宝安区登记的流动人口患者高于常驻人口,流动人口的高流动性给治疗管理工作带来了一定难度,疗程结束时失访患者比例高,因此,应加强患者治疗管理和转归信息的衔接和共享。
Objective To understand the characteristics of TB epidemic among floating population in Bao’an District of Shenzhen City, treatment and management status and existing problems. Methods A total of 3027 TB patients registered in the Chronic Disease Prevention and Treatment Hospital of Bao’an District from 2004 to 2007 were collected. Among them, 796 were registered permanent residents and 2231 were floating residents. The epidemiological characteristics of TB were analyzed by qualitative interview Methods Nine interviews with TB patients, six TB clinic and prevention and treatment doctors, 10 leaders and experts in health administration and business departments in charge of floating tuberculosis prevention and control were interviewed, and the health demands, medical seeking behaviors, tuberculosis Diagnosis, treatment management and prevention and control policies of the status quo, problems and recommendations. Results The number of floating population registered in Bao’an District from 2004 to 2007 was 2.8 times (2231/796) of the resident population. The average number of patients with migraines was 6.05% (135/2231). The average referral rate was 93.32% (2082/2231). Floating population of new smear-positive patients aged 15 to 45, with an average of 93.80% (1739/1854). The supervision and management of new smear-positive patients in floating population was dominated by supervision, with 97.93% (663/677) in 2007 and 92.99% (1724/1854) at the end of 3 months. No outcome was obtained at the end of treatment The results of a high proportion of patients, the new smear-positive cure rate was 46.33% (859/1854). Conclusion The number of floating population registered in Bao’an District of Shenzhen City is higher than that of the resident population. The high liquidity of the floating population brings some difficulties to the management of the treatment. The proportion of patients lost to follow up is high at the end of the treatment period. Therefore, Back to the convergence and sharing of information.