2005~2017年银川市结核病就诊情况分析  

Analysis on status of tuberculosis treatment,Yinchuan city,2005-2017

作　　者：李霞 张佳 马国荣 杨延辉[1] 董入嘉 张娇 王娜[3] 马德宝 杨玉荣[1] LI Xia;ZHANG Jia;MA Guo-rong;YANG Yan-hui;DONG Ru-jia;ZHANG Jiao;WANG Na;MA De-bao;YANG Yu-rong(School of Basic Medical Sicence,Ningxia Medical University,Yinchuan,Ningxia,750004,China;不详)

机构地区：[1]宁夏医科大学基础医学院病原生物与医学免疫学系,宁夏银川750004 [2]永宁县人民医院检验科,宁夏银川750100 [3]宁夏医科大学基础医学院生物技术系,宁夏银川750004

出　　处：《预防医学论坛》2021年第5期321-324,329,共5页Preventive Medicine Tribune

基　　金：国家自然科学基金“对高流行区多种传染病(包虫病、结核病)快速联合预警方案”(项目编号:81460311)。

摘　　要：目的了解银川市管辖区结核病就医诊疗情况,评估宁夏地区的结核病防治工作。方法收集银川市管辖区结核病2005~2017年登记的病例资料,并结合相关的人口和行政区划等数据进行相关分析。结果13年间银川市共登记10213例结核病人。永宁县(649.44/10万)和贺兰县(637.03/10万)患病率最高,兴庆区(223.11/10万)最低(P<0.05)。复治率最低的是灵武市(1.19%),其他地域均在平均左右(4.84%)。银川市累计就诊延迟病例占46.54%,确诊延迟病例占9.50%,从2008年开始治疗时间为6~8个月的病人比率升高并稳定。2010年以前就诊延迟率随着年龄的增长而增高,51~60岁组最高(52.59%),2011年后各年龄组间就诊延迟率差异无统计学意义(P>0.05)。前后两时间段拒绝治疗的平均比率有显著下降(P<0.01)。结论银川市结核病就诊延迟率高于确诊延迟率。Objective To understand the diagnosis and treatment of tuberculosis,and evaluate the prevention and control of tuberculosis in Yinchuan city.Methods The data of tuberculosis during 2005-2017 in Yinchuan city were investigated and analyzed,combined with the relevant data of population and administrative division to conduct correlation analysis.Results A total of 10213 tuberculosis cases were registered in Yinchuan city during the past 13 years,Yongning county(649.44/105)and Helan county(637.03/105)had the highest prevalence,while Xingqing district(223.11/105)had the lowest prevalence(P<0.05).The lowest rate of retreated patients was in Lingwu(1.19%)and that of other counties was around the average level(4.84%).In Yinchuan city,46.54%of the cases were delayed to visit the doctors and 9.50%of the cases were delayed diagnosis cases.Since 2008,the proportion of patients who had been treated for 6-8 months increased.Before 2010,the delayed visit rate increased with the increase of age,with the highest in the 51-60 age group(52.59%).After 2011,the delay rate among different groups had no statistical significance(P>0.05).The average rate of refusing treatment decreased significantly(P<0.01).Conclusion The delay rate of seeking doctor of tuberculosis is higher than that of delayed diagnosis in Yinchuan city.

关 键 词：结核病 就医 诊断和治疗 

分 类 号：R52[医药卫生—内科学]