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[目的]分析杭州经济技术开发区流动人口中肺结核患者转出的原因,总结跨区域转诊管理经验,减少因患者转出造成的治疗中断。[方法]对杭州经济技术开发区2007～2008年登记确诊的流动人口肺结核患者相关资料进行分析。[结果]2007～2008年累计登记确诊肺结核患者678例,其中流动人口639例,占94.25%。639例流动人口患者中,转出268例,占41.94%。转出的268例中,转出原因为大专院校学生休学的占37.69%,因经济原因的占26.87%,因不能继续在单位集体生活的占19.03%,被辞退的占13.81%,去向不明的占2.61%。632例流动人口肺结核患者中,成功治疗的550例,成功治疗率为87.03%;户籍人口肺结核患者39例中,成功治疗的34例,成功治疗率为87.18%。户籍人口患者成功治疗率与流动人口患者成功治疗率的差异无统计学意义(P>0.05)。流动人口患者成功治疗率,转出的为76.25%,未转出的为94.61%(P<0.01)。转出流动人口患者成功治疗率,转出原因是大专院校学生休学的为96.04%,因经济原因转出的为48.61%,因不能继续在单位集体生活回原籍者为76.47%,被辞退者为75.68%(P<0.01)。[结论]肺结核病人跨区域转诊管理在学生中实施效果较好,经济困难是影响流动人口治疗转归的重要原因。
[Objective] To analyze the reasons for the TB patients out of floating population in Hangzhou Economic and Technological Development Zone, summarize the cross-regional referral management experience and reduce the interruption of treatment caused by the patient being transferred out. [Method] The related data of tuberculosis patients of migrant population diagnosed in Hangzhou Economic and Technological Development Zone from 2007 to 2008 were analyzed. [Results] From 2007 to 2008, a total of 678 cases of pulmonary tuberculosis were registered and diagnosed, of which 639 were floating population, accounting for 94.25%. Among 639 floating population patients, 268 cases were transferred, accounting for 41.94%. Out of 268 cases, the reasons for the transfer out of college students accounted for 37.69% off, due to economic reasons accounted for 26.87%, because they can not continue to work in the unit of collective life accounted for 19.03%, 13.81% was dismissed, the whereabouts unknown Accounted for 2.61%. Of the 632 floating population with pulmonary tuberculosis, 550 were successfully treated, with a success rate of 87.03%. Of the 39 patients with census register of pulmonary tuberculosis, 34 were successfully treated, with a success rate of 87.18%. There was no significant difference between the successful treatment rate of the registered population and the successful treatment rate of the floating population (P> 0.05). The successful treatment rate of floating population patients was 76.25%, 94.61% (P <0.01). Out of the floating population of patients with successful treatment rate, the reason for the transfer out of college students was suspended from school for 96.04%, due to economic reasons out of 48.61%, because they can not continue to return home in unit of collective life was 76.47% Was 75.68% (P <0.01). [Conclusions] Cross-sectional referral and management of tuberculosis patients is better implemented among students, and economic difficulties are the important reasons that affect the treatment outcome of floating population.