摘要目的 分析淮安市流动人口和户籍人口肺结核患者治疗管理情况,为本地区开展流动人口结核病防治工作提供参考依据。 方法 对2009-2014年淮安市登记管理的402例流动人口肺结核患者基本情况、临床特征、治疗转归情况进行分析,并与同期本地户籍患者进行比较。 结果 2009-2014年淮安市流动人口肺结核患者中男性、年龄≤60岁患者所占比例高于本地户籍患者(74.13% vs. 69.33%,χ2=4.253,P=0.039;73.63% vs. 67.33%,χ2=7.085,P=0.008)。流动人口肺结核患者因症就诊比例低于本地户籍患者(20.65% vs. 28.86%,χ2=12.912,P=0.000),健康检查比例高于本地户籍患者(32.09% vs. 22.55%,χ2=20.198,P=0.000);就诊延迟比例高于本地户籍患者(63.93% vs. 51.72%,χ2=23.380,P=0.000)。流动人口肺结核初诊伴咳嗽、咳痰症状者及痰结核分枝杆菌阳性者均高于本地户籍患者(72.14% vs. 66.79%,χ2=6.385,P=0.012;31.09% vs. 26.39%,χ2=4.435,P=0.035)。与本地户籍患者相比较,流动人口肺结核患者成功治疗率和系统管理率较低(89.30% vs. 95.30%, χ2=30.451,P=0.000; 93.78% vs. 98.12%, χ2=37.572,P=0.000),治疗失败率和丢失率较高(1.99% vs. 0.98%, χ2=3.978,P=0.046;4.48% vs. 0.92%, χ2=49.228,P=0.000)。 结论 流动人口结核病患者以中青年男性为主,患者延迟就诊比例较高,成功治疗率和系统管理率低于本地户籍患者,需进一步加强流动人口肺结核患者的治疗管理工作。
Abstract：Objective To analyze the treatment and management of pulmonary tuberculosis(TB) in floating and registered population in Huaian, so as to provide reference for TB control in floating population. Methods The general information, clinical features and treatment outcome of 402 TB cases of floating population registered in Huaian from 2009 to 2014 were analyzed, and compared with those of the local cases. Results From 2009 to 2014 in Huaian, compared with the local patients, the floating population had significantly higher proportions of male TB patients and TB patients aged ≤60 years(74.13% vs. 69.33%, χ2=4.253,P=0.039; 73.63% vs. 67.33%, χ2=7.085,P=0.008), lower proportions of symptomatic clients (20.65% vs. 28.86%, χ2=12.912, P=0.000),higher proportion of patients detected by health examination (32.09% vs. 22.55%, χ2=20.198,P=0.000), higher proportion of delay in seeking medical service(63.93% vs. 51.72%, χ2=23.380,P=0.000), higher incidences of cough and expectoration at first visit for TB(72.14% vs. 66.79%, χ2=6.385,P=0.012), higher proportion of patients with positive Mycobacterium tuberculosis smear (31.09% vs. 26.39%, χ2=4.435,P=0.035), lower rates of successful treatment and systematical management (89.30% vs. 95.30%, χ2=30.451,P=0.000; 93.78% vs. 98.12%, χ2=37.572,P=0.000) and higher rates of treatment failure and loss (1.99% vs. 0.98%, χ2=3.978,P=0.046;4.48% vs. 0.92%, χ2=49.228,P=0.000). Conclusions Most of the TB patients in the floating population in Huaian from 2009 to 2014 are young men. The proportion of patients delaying to see the doctor is higher and the rates of successful treatment and systematical management are lower,so further measures should be taken to strengthen the treatment and management of TB patients in the floating population.
丁守华, 邵文荣, 万青灵, 何南江. 2009-2014年淮安市流动人口和户籍人口肺结核患者治疗管理情况比较[J]. 实用预防医学, 2016, 23(10): 1196-1198.
DING Shou-hua, SHAO Wen-rong, WAN Qing-ling, HE Nan-jiang. Comparison of the treatment and management of pulmonary tuberculosis patients between floating and registered populations in Huaian City, 2009-2014. , 2016, 23(10): 1196-1198.
2016, Vol. 23 
