广西2008—2011年登记为丢失的新涂阳肺结核患者特征分析

目的分析广西2008—2011年登记为丢失的新涂阳肺结核患者的基本特征，为更好的开展结核病防控工作提供参考。方法从中国结核病信息管理系统中导出广西2008—2011年登记为丢失的新涂阳肺结核患者的病案资料进行分析。结果广西2008—2011年登记为丢失的新涂阳肺结核患者共313例，年平均丢失率为0．54％。患者多数为农民（70．0％）、男性（80．8％）和汉族（70．9％）人群，年龄集中在25～54岁（52．4％），主要来源于转诊（51．8％）；98．4％的患者诊断为Ⅲ型结核病，胸部影像学检查结果多无空洞（占69．3％）、无粟粒（占98．4％）；74．4％患者确诊时间〉14d，61．3％患者治疗时间≤2个月。各年患者的基本情况和诊治情况构成差异均无统计学意义（均有P〉0．05）；各年患者的户籍构成差异有统计学意义（均有P〈0．05）；2008年后外地户籍与本地户籍患者丢失率差异有统计学意义（均有P〈0．05）。结论应重点加强对中青年男性农民患者的全程治疗管理和健康教育工作，不断提高流动人口患者的治疗管理水平。

Analysis on the characteristics of the new-smear positive tuberculosis patients who were lost to follow-up in Guan- gxi, 2008 -2011

Objective To analyse the characteristics of the new-smear positive tuberculosis patients who were lost to follow up from 2008 to 2011, and to provide the reference for tuberculosis control work. Methods The data of the new- smear positive tuberculosis patients who were lost to follow-up were derived from the national tuberculosis information man- agement system. Results There were 313 new-smear positive tuberculosis patients who were lost to follow-up from 2008 to 2011. The average rate of lost to follow up was 0. 54%. Most of them were farmers （70%）, male （80. 8% ） and the han nationality （70.9%） people. Their age was concentrated on 25-54 （52.4%） and they mainly came from referral （51.8% ） ; 98.4% of patients diagnosed with type III tuberculosis; The chest radiographic inspection results of most pa- tients were empty （69.3%） and no millet grain （98.4%） ; The diagnosed time of most patients exceeded 14 days （ 74. 4% ） ; The treatment time of most patients were less than two months（61.3% ） . There were no statistical significance difference in the basic condition and in the diagnosis and treatment condition （ all P 〉 0. 05 ）, respectively, except in the household composition （P 〈 0. 05） ; After the year 2008, there was statistically significant difference in the rate of lost to follow up in the patients with different census register（ all P 〈 0. 05）. Conclusions It was necessary to strengthen treat- ment management and health education work in those patients, and to constantly improve the management level in the float- ing population.