泰安市实施结核病专科医院项目效果分析

目的分析评价泰安市实施山东省结核病专科医院项目效果,探索结核病专科医院在结核病防治规划中的地位和作用。方法资料来源于泰安市结核病防治院2009年7月1日²011年6月30日项目实施期间的结核病登记本、门诊及住院患者资料以及专科医院专报网络资料。所有资料录入并使用Excel2003软件进行汇总、统计分析。结果医院共登记肺结核患者771例,纳入项目管理的718例,纳入率93.13%。项目实施过程纳入项目管理的51例被排除在项目外,主要原因耐药(47.06%)和不良反应(39.22%)。实际接受治疗管理的共667例,管理率为92.90%,初治涂阳的232例,治愈率88.21%;复治涂阳的46例,治愈率86.96%;初治涂阴的358例。317例进行了培养与药敏试验,其中,耐1种及以上一线抗结核药物的69例,总体耐药率21.77%。结论实施结核病专科医院项目,规范了专科医院结核病的登记、报告、转诊,提高了肺结核患者发现和治疗依从性,发挥了结核病专科医院在结核病控制规划中的重要作用,值得在更大范围内推广。

Effectiveness analysis of tuberculosis specialized hospitals project in Taitm city

Objective To evaluate the implementation of tuberculosis specialized hospital project of Shandong province in Ta＇an city, and to explore the role of tuberculosis specialized hospital in tuberculosis control program. Methods The pro- ject data came from TB registration, inpatient and outpatient hospital data and special report network information in TalOn tuberculosis prevention and control hospital from July 1,2009 to June 30,2011, when this project was under implementa- tion. All data were processed with Excel2003. Results A total of 771 cases pulmonary tuberculosis were registered in the hospital, of whom, 718 cases were incorporated into the project management, accounting for 93.13%. Fifty -one cases were excluded during project implementation, mainly due to drug resistance （88.21% ） and adverse reactions（ 86.96% ）. 667 case received management, accounting for 92.90%. For 232 cases of new smear positive pulmonary tuberculosis, the curative rate was 88.21% ; for 46 cases of recurrent smear positive pulmonary tuberculosis, the curative rate was 86.96% ; and 358 cases of smear negative pulmonary tuberculosis received initial treatment. Sputum culture and sensitivity test were conducted on 317 cases, Sputum culture and drug sensitivity were conducted on 317 cases, among whom, 69 cases were re- sistant against one or more first - line anti - TB drugs, the overall drug resistance rate was 21.77%. Conclusions Imple- mentation of tuberculosis specialized hospital project can standardize the registration, report and referral of TB patients in specialized hospital, improve TB detection and patient treatment compliance, play an important role in tuberculosis control planning, which is worthy to be further promoted.