2013-2017年辽宁省老年肺结核患者发现及就诊现况分析  

Analysis on the diagnosis and source of eldely tuberculosis cases in Liaoning province

作　　者：梁爽[1] 毛宁[1] 钟威[1] 蒋轶文 LIANG Shuang;MAO Ning;ZHONG Wei;JIANG Yi-wen(Department of Tuberculosis Prevention and Control,Liaoning Center for Disease Control and Prevention,Shenyang Liaoning 110005,China)

机构地区：[1]辽宁省疾病预防控制中心结核病预防控制所

出　　处：《中国卫生工程学》2019年第6期818-820,共3页Chinese Journal of Public Health Engineering

摘　　要：目的分析2013-2017年辽宁省老年肺结核患者发现方式及就诊延迟、确诊延迟现况,为进一步做好老年肺结核病防治工作提供科学依据。方法依据结核病信息管理系统,对年龄≥60岁的老年肺结核患者数据信息进行描述性统计分析。结果2013-2017年辽宁省老年肺结核患者共登记29415例,发现方式以因症就诊和追踪为主,且追踪发现方式患者比例呈现逐年上升趋势(χ^2趋势=323.214,P<0.001),年递增率为16.23%;因症就诊患者比例呈逐年下降趋势(χ^2趋势=63.847,P<0.001),年递减率为1.79%,就诊延迟呈逐年下降趋势(χ^2趋势=32.710,P<0.001),确诊延迟呈逐年上升趋势(χ^2趋势=18.316,P<0.001)。结论辽宁省老年肺结核患者的主要发现方式为因症就诊和追踪,老年肺结核患者确诊延迟率呈上升趋势,就诊延迟率呈下降趋势,应加强老年人群的结核病防治知识的宣传,开展老年肺结核患者的主动筛查,降低就诊延迟及确诊延迟状况。Objective To analyze the methods of discovery and delay of diagnosis and diagnosis of senile pulmonary tuberculosis patients in Liaoning province from 2013 to 2017.To provide scientific basis for further prevention and treatment of tuberculosis in the elderly.Methods The related data about ederly tuberculosis patients aged≥60 years in tuberculosis information management system were analyzed.Results 29415 cases of tuberculosis patients was registered in Liaoning province from 2013 and 2017.The way of discovery was based on symptomatic treatment and follow-up.And the proportion of patients with tracking methods was increasing year by year(χ^2=323.214,P<0.001),The annual increase rate was 16.23%,patients with referral way was decreasing year by year(χ^2=63.847,P<0.001).Annual decline rate was 1.79%,Delay in treatment was decreasing(χ^2=32.710,P<0.001),Delayed diagnosis was increasing year by year(χ^2=18.316,P<0.001).Conclusion The main finding of elderly pulmonartuberculosis patients is symptomatic treatment and follow-up in Liaoning province.Delayed diagnosis rate of elderly pulmonary tuberculosis patients is increasing.Visit delay rate is decreasing year by year.Advocacy for tuberculosis prevention and treatment knowledge among the elderly should be strengthened,Active screening for elderly tuberculosis patients should be carried out to reduce the delay in treatment and visit delay rate.

关 键 词：老年人 结核病 就诊 现况 

分 类 号：R521[医药卫生—内科学]