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中文摘要: 目的 探讨宫颈癌前病变患者电子档案的建立与信息化管理模式,提高宫颈癌前病变患者的随访率,及早发现宫颈癌,降低死亡率。方法 成立宫颈病变中心,由专职医护人员建立宫颈癌前病变患者电子档案,所有信息及时录入中山市妇幼信息系统,对患者进行及时随访。结果 宫颈癌共筛查130 475人,TCT异常5 559人,TCT阳性率为4.26%。复诊人数3337人,复诊率为60.03%。共检出宫颈癌前病变972例,其中CINI 411例,CINII 267例,CINIII 294例。 对中山市宫颈癌前病变患者进行系统管理,TCT筛查阳性随访率由2011年的63.5%上升至2015年的80.58%。宫颈癌前病变患者随访率由实施前的19.05%上升至实施后的76.19%。结论 宫颈癌前病变患者电子档案的建立及信息化管理,可以加强患者的随访管理,提高随访率,保证患者就诊资料及时性、完整性及连续性,全市妇幼机构医护人员可以随时查看患者就诊情况,提高工作效率,方便科研人员统计分析,及时发现问题并解决问题。
Abstract:OBJECTIVE To explore the establishment of electronic archives and information management model in patients with cervical precancerous lesions,to Improve the follow-up rate of patients with cervical precancerous lesions, to discover cervical cancer early and reduce mortality.METHODS To establish cervical lesions center, establish cervical cancer patients with electronic files by the full-time health care workers, all the information was inputted into the womenand children information system in Zhongshan City timely, patients were be followed up timely.RESULTS The total number of cervical cancer screening: 130475 people, TCT abnormalities: 5559 people, TCT rate of referral: 4.26%. The number of referrals: 3337 people, referral rate: 60.03%. A total of 972 cases of cervical precancerous lesions were detected: 411 cases of CINI, 267 cases of CINII and 294 cases of CINIII. To manage cervical precancerous lesions systematic in Zhongshan City, TCT screening positive follow-up rate from 63.5% in 2011 rose to 80.58% in 2015. The follow-up rate of cervical precancerous lesions increased from 19.05% before implementation to 76.19%. CONCLUSION the establishment of electronic files and information management in Cervical precancerous lesions, can strengthen the follow-up management of patients,improve the follow-up rate,ensure patients information timely integrity and continuity, women and children institutions medical staff can always seek the information of patient treatment in the system, Improve work efficiency, facilitate the statistical analysis of scientific research personnel,find out the problems and solve the problem timely.
文章编号:3201805012 中图分类号:R1-9 文献标志码:
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