黑龙江省黑河市2009—2011年非结核病防治机构肺结核患者转诊与追踪情况分析

目的 分析黑河市2009-2011年非结核病防治机构（简称“非结防机构”）网络直报肺结核患者的转诊与追踪情况，提高患者发现效果。 方法 利用结核病管理信息系统中2009-2011年黑河市非结防机构网络报告肺结核转诊、追踪及核查报表,对4991例需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。 结果 2009-2011年黑河市非结防机构网络直报肺结核及疑似肺结核患者转诊到位率分别为45.4%（870/1918）、47.8%（762/1594）和61.1%（904/1479），呈逐年上升趋势（χ²_趋势=78.711, P=0.000）；追踪到位率分别为91.7%（961/1048）、94.2%（784/832）、86.6%（498/575）；总体到位率分别为95.6%（1834/1918）、97.1%（1547/1594）、94.8%（1402/1479）；到位活动性肺结核患者检出率为43.0%（2057/4783），涂阳肺结核患者检出率为23.9%（1144/4783）；非结防机构对活动性肺结核患者发现的贡献率为50.1%（2057/4107），对涂阳肺结核患者发现的贡献率为46.8%（1144/2446）。 结论 2009-2011年黑河市的非结防机构网络直报肺结核患者的转诊到位率呈逐年递增趋势，追踪到位率及总体到位率均维持在较高水平。

Analysis on referral and tracing of pulmonary tuberculosis patients reported by non-TB control institutions in Heihe city in 2009 to 2011

Objective To understand the status of referral and follow-up of pulmonary tuberculosis （PTB） patients reported in internet-based surveillance system by non-TB control institutions in Heihe city in 2009 to 2011 in order to improve case detection. Methods The referral, tracing and checking report forms of PTB patients repor- ted by non-TB control institutions in Tuberculosis Management Information System of Heihe in 2009 to 2011 was used. The referral arrival rate, tracing arrival rate, total arrival rate, detection rate and the contribution rate on TB case detection by non-TB institutions of 4991 cases that needed referral were analyzed. Results For the patients reported in internet-based surveillance system by non-TB control institutions in 2009 to 2011, the referral arrival rates was 45.4% （870/1918）, 47.8% （762/1594） and 61.1% （904/1479） respectively, with a rising trend year by year（X2rend=78. 711, P=0. 000）. The tracing arrival rate was 91.7G （961/1048）, 94.2G （784/832） and 86.6G （498/575）. The total arrival rate was 95.6% （1834/1918）, 97.1% （1547/1594） and 94.8% （1402/1479） respec tively. Among arrival patients, the detection rate of active PTB was 43.0%（2057/4783） and that of smear positive PTB was 23.9% （1144/4783）. The contribution rate on active PTB case detection by non-TB institutions was 50. 1% （2057/4107） and that of smear positive PTB was 46.8% （1144/2446）. Conclusion The referral arrival rate was increasing year by year in Heihe city from 2009 to 2011, and the tracing arrival rate and the total arrival rate maintained at a high level.