成都市乙型病毒性肝炎病例诊断符合率影响因素分析  

Factors Affecting HBV Diagnostic Accordance Rate in Chengdu

作　　者：速丽媛[1] 周晓锋 岳勇[1] 尹仲良[1] 马林[1] 

机构地区：[1]成都市疾病预防控制中心,四川成都610041 [2]成都市新都区疾病预防控制中心

出　　处：《寄生虫病与感染性疾病》2011年第3期149-151,共3页Parasitoses and Infectious Diseases

摘　　要：目的探索2007-2009年成都市乙肝病例诊断符合率影响因素。方法采用分层系统随机抽样方法抽取调查样本,根据《成都市乙肝网络报告质量(诊断符合率)专题调查方案》进行现场调查。结果对88家医疗机构,共1 621份有效乙肝病例个案进行诊断符合率调查。符合乙肝病例诊断的有963例,诊断符合率59.41%;不符合病例658例,占40.59%。其中乙肝病原携带者判定为乙肝病例389例,占24%;判断依据不足病例254例,占15.67%;误判断病例15例,占0.93%。结论成都市乙肝诊断符合率较低,影响的主要原因是将病原携带者及证据不足病例作为乙肝确诊病例进行报告,提示要加强各类医院医务人员乙肝诊断标准的培训,确保乙肝诊断报告质量。Objective To explore the factors affecting diagnostic accordance rate of HBV in Chengdu during 2007-2009.Methods Layered-system method with random sampling was adopted to select the sample.Field investigation was conducted according to ＂Thematic Survey Program of HBV Network Reporting Quaility（diagnosis accordance rate） in Chengdu＂.Results Totally 1 621 effective HBV cases in 88 medical institutions were selected to conduct investigation of diagnostic accordance rate.In which diagnosis of 963 cases were accorded,the diagnostic accordance rate was 59.41%;658 cases＇ diagnosis were not accorded,accounting for 40.59%;389 HBV carriers were diagnosed as HBV patients,accounting for 24% of the total;254 cases were lack of diagnostic evidence,accounting for 15.67%;15 cases were misdiagnosed,accounting for 0.93%.Conclusion The diagnostic accordance rate of HBV in Chengdu is low,the main influential factor is reporting HBV carriers and cases with insufficient evidence as diagnosed HBV cases.Therefore,trainings targeted various types of hospital medical staff on HBV diagnostic criteria should be strengthened to ensure the quality of HBV diagnostic reports.

关 键 词：乙型病毒性肝炎 诊断符合率 

分 类 号：R512.62[医药卫生—内科学]