2010—2019年淄博市学生肺结核患者发现延误情况分析  

Analysis on the delay and influence factors of tuberculosis detection among students in Zibo from 2010 to 2019

作　　者：李源[1] 高风华[1] 边文建 王敏[1] LI Yuan;GAO Feng-hua;BIAN Wen-jian;WANG Min(Zibo Center for Disease Control and Prevention,Zibo,Shandong 255026,China)

机构地区：[1]淄博市疾病预防控制中心,山东淄博255026

出　　处：《现代预防医学》2021年第6期1115-1118,共4页Modern Preventive Medicine

基　　金：山东省医药卫生科技发展计划项目(2017WS163)。

摘　　要：目的对淄博市学生肺结核患者发现延误情况进行分析,为本地区学校结核病防控的科学决策提供依据。方法收集"中国疾病预防控制系统-结核病管理信息"中淄博市2010—2019年学生肺结核疫情资料,采用Excel 2007和SPSS 16.0软件对学生肺结核患者发现、就诊、诊断间隔时间及延误情况进行描述性分析。结果淄博市十年间737例学生肺结核患者中,发现时间间隔中位数(四分位数)[M(Q1,Q3)]为17(4,42)d,发现延误率54.27%(400/737);就诊时间间隔M(Q1,Q3)为17(4,42)d,就诊延误率53.73%(396/737);诊断时间间隔M(Q1,Q3)为2(0,18.5)d,诊断延误率28.49%(210/737)。不同发现方式和病原学检查结果的患者发现延误情况不同。结论淄博市仍有超过半数学生患者就诊及发现延误,而发现延误率高的学生患者其病原学阳性率也高,增强学生群体的主动就诊意识及行为仍是学生群体结核病健康宣教活动的主要目标。Objective To analyze the delay in the detection of student tuberculosis patients in Zibo,and to provide a basis for scientific decision-making on the prevention and control of tuberculosis in schools.Methods The data of tuberculosis epidemic situation of students in Zibo from 2010 to 2019 were collected from"China disease control and prevention system-tuberculosis management information".Excel 2007 and SPSS16.0 software were used to conduct descriptive analysis on the discovery,treatment,diagnosis interval and delay of students with pulmonary tuberculosis.Results Among 737 students with pulmonary tuberculosis in Zibo in the past ten years,the median time interval(quartile)[M(Q1,Q3)]was 17(4,42)d,and the detection delay rate was 54.27%(400/737);the treatment interval[M(Q1,Q3)]was 17(4,42)d,the delay rate was 53.73%(396/737);the diagnosis interval[M(Q1,Q3)]was 2(0,18.5)d,and the diagnosis delay rate was 28.49%(210/737).The delay in detection varied among patients with different detection methods and pathogenetic examination results.Conclusion More than half of TB student patients are still delayed in treatment and detection,and those with high detection delay also have a high rate of positive pathogenicity.Enhancing the awareness and behavior of the student population for active consultation is still the main goal of TB health promotion activities among students.

关 键 词：学生 肺结核 延误诊断 因素分析 

分 类 号：R521[医药卫生—内科学] R181.3[医药卫生—临床医学]