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目的分析2009-2012年江西省登记为治疗丢失的新涂阳肺结核患者的基本特征,为更好的防治结核病提供科学依据。方法从中国疾病预防控制信息系统结核病管理子系统中导出2009-2012年江西省登记为治疗丢失的新涂阳肺结核患者病案管理资料进行分析。结果 2009-2012年江西省登记为丢失的新涂阳肺结核患者共167例,年平均丢失率为0.24%,年间丢失率差异有统计学意义;患者以青中年男性农民为主,主要来源于因症就诊和转诊。丢失的新涂阳患者以III型、无空洞、无粟粒肺结核为主,大部分患者确诊时间≤14 d,接受抗结核治疗时间>60 d。结论应关注中青年男性患者的健康促进工作;加强对患者继续期治疗的督导管理,完善结核病医疗保障制度,提高结核病诊疗费用的报销补助和比例。
Objective To analyze the basic characteristics of newly smear-positive pulmonary tuberculosis registered in Jiangxi province from 2009 to 2012 for the purpose of providing a scientific basis for better prevention and treatment of tuberculosis. Methods The data of medical records management of newly smear-positive pulmonary tuberculosis registered as lost treatment in Jiangxi Province from 2009 to 2012 were analyzed from the Chinese disease control and prevention information system tuberculosis management subsystem. Results A total of 167 newly smear-positive pulmonary tuberculosis patients were registered as missing from 2009 to 2012 in Jiangxi Province, with an average annual loss rate of 0.24%. There was a significant difference in annual loss rate among these patients. The patients were mainly young middle-aged male farmers, mainly from Symptoms treatment and referral. Lost smear-positive patients with type III, no empty, no miliary tuberculosis, most of the patients diagnosed within 14 days, receiving anti-TB treatment for> 60 days. Conclusions Should pay attention to the health promotion work of young and middle-aged male patients; to strengthen the supervision and management of patients with continued treatment, improve the medical security system of tuberculosis, improve the reimbursement and proportion of tuberculosis medical expenses.