关键词: 结核,肺, 体系, 预防, 治疗, 管理

Abstract:

Objective To analyze the differences in clinical management for tuberculosis (TB) patients managed by different prevention and treatment systems in the Xicheng District in Beijing, thus providing references for the clinical management for TB. Methods Clinical data of TB patients who were managed by the Tuberculosis Prevention Institute of Xicheng District from January 1, 2016 to June 30, 2019 were downloaded from China Information System for Diseases Control and Prevention. Patients were divided into the integrated group of “prevention, treatment and control” and the trinity group according to the current diagnosis unit. The basic information and clinical characteristics of the two groups were analyzed retrospectively. Results A total of 1, 000 patients were included in this study, with 385 cases (38.50%) managed in the Tuberculosis Prevention Institute of Xicheng District as the integrated group of “prevention, treatment and control”, and 615 cases (61.50%) managed in the Beijing Municipal tuberculosis Prevention and Control Institute and Municipal Designated Hospital as the trinity group. The proportion of whole-process sputum examination in the integrated group was significantly higher than that of the trinity group (48.57% vs 23.90%, P<0.05). The proportion of standardized schemes in the integrated group was significantly higher than that of the trinity group (69.61% vs 51.06%, P<0.05). The rates of cure and treatment success in the integrated group were significantly higher than those of the trinity group (32.21% vs 16.75%,95.06% vs 83.41%; P<0.05). The proportion of patients with etiological results in the integrated group was significantly higher than that of the trinity group (89.61% vs 83.09%, P<0.05). The proportion of patients with molecular biology results in the 0 month sequence in the trinity group was significantly higher than that of the integrated group (28.46% vs 18.70%, P<0.05). Conclusion The proportion of patients with molecular biology results in the 0 month sequence in the trinity group is higher. The trinity mode has problems like non-standard management and adverse outcome. Measures need to be taken to improve the therapeutic effect of TB patients.

Key words: tuberculosis, pulmonary, system, prevention, treatment, management