广西新发涂阳肺结核患者确诊延迟影响因素分析  

Factors associated with diagnosis delay for patients with new smear-positive pulmonary tuberculosis in Guangxi

作　　者：吴腾燕[1] 刘飞鹰[1] 黄曙海[1] 梁大斌[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心结核病防制所,南宁530028

出　　处：《中国临床新医学》2014年第2期112-115,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西壮族自治区疾病预防控制中心医药卫生科研项目(编号:201109)

摘　　要：目的分析广西新发涂阳肺结核患者确诊延迟情况及影响因素,为结核病防治工作提供参考。方法从广西现行的4种结核病防治模式单位抽取180例2011年登记报告的新发涂阳肺结核患者的病案信息进行统计分析。结果广西新发涂阳肺结核患者确诊延迟率为44.4%,确诊时间中位数为19 d。Logistic回归分析显示,男性(OR=3.502,P=0.006)及确诊于CDC模式单位(OR=2.797,P=0.032)的患者发生确诊延迟的风险较大。结论通过加强结核病健康教育,积极出台各项惠民措施,因地制宜地逐步推行结核病诊疗模式转型,有利于减少肺结核患者确诊延迟的发生。Objective To study the condition and influencing factors associated with diagnosis delay for pa -tients with new smear-positive pulmonary tuberculosis , in order to provide a reference for tuberculosis control work in Guangxi.Methods One huandred and eighty patients with new smear-positive pulmonary tuberculosis reported in 2011 were selected from 4 units of different tuberculosis control mode , and the data of medical record information were collected for statistical analysis .Results The diagnosis delayed rate was 44.4%in patients with new smear-positive pulmonary tuberculosis , the median time of diagnosis was 19 days.Logistic regression analysis showed that patients with the gender of men （ OR=3.502 , P=0.006 ） and came from the unit of CDC control mode （ OR=2.797 , P=0.032 ） had higher risk of diagnosis delay .Conclusion It was useful to strengthen the tuberculosis health education , develop measures of benefit to the people ,and gradually implement transformation of the tuberculosis control mode ,for reducing the happening of diagnosis delay in Guangxi .

关 键 词：结核 肺 诊断延迟 卫生调查 

分 类 号：R56[医药卫生—呼吸系统]