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目的探讨在国家结核病防治规划之下,开展结核病防治机构与高校医院的合作,提高疑似肺结核病人总体到位率,纳入现代结核病控制策略(DOTS)下管理的可行性。方法在陕西省的70所高校中,采取分层系统抽样方法,抽出西安市辖区内高校3所,辖区外2所,按相似条件1∶1配对,随机分为2组,对其中一组进行综合措施干预,对2组进行2χ检验。结果干预后高校疑似病人转诊率、转诊到位率、追踪率、追踪到位率、总体到位率(5率)分别提高了52.6,41.6,50.0,30.2,47.5个百分点,对照组5率保持在40%~50%之间不变;组间比较,追踪到位率P=0.309,其他4率差异有统计学意义(P<0.001)。结论开展结核病防治机构与高校医院合作,将高校肺结核病人纳入DOTS管理,采取干预措施有效;干预后病人总体到位率有了明显提高。
Objective To explore the feasibility of implementing the TB control strategy (DOTS) under the National Tuberculosis Control Program (TB Control Program) to improve cooperation between TB prevention and treatment institutions and university hospitals and to increase the overall probability of suspected TB patients. Methods In 70 colleges and universities in Shaanxi Province, stratified systematic sampling method was adopted to extract three universities and colleges in Xi’an area and two outside the area. The patients were divided into two groups according to the similar conditions 1: 1, and randomly divided into two groups Comprehensive measures intervention, 2 groups 2χ test. Results After the intervention, the referral rate, referral rate, follow-up rate, follow-up rate and overall arrival rate (5 rates) of suspected patients increased by 52.6, 41.6, 50.0, 30.2 and 47.5 percentage points respectively. Between 40% and 50%; between groups, the follow-up rate P = 0.309, the other 4 rates showed significant difference (P <0.001). Conclusions The cooperation between TB prevention and treatment institutions and universities and hospitals, the inclusion of university tuberculosis patients in DOTS management and the effective intervention are effective. The overall arrival rate of patients after intervention has been significantly improved.