浙江省安吉县老年肺结核患者就诊延迟特征分析  

Characteristics analysis of delayed hospital visits in elderly tuberculosis patients in Anji County,Zhejiang Province

作　　者：吴雪[1] 田磊 张喜琴[1] 陈彬[2] WU Xue;TIAN Lei;ZHANG Xiqin;CHEN Bin(Anji Center for Disease Control and Prevention,Huzhou,Zhejiang 313300,China;Department of Tuberculosis Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]安吉县疾病预防控制中心,浙江湖州313300 [2]浙江省疾病预防控制中心结核病预防控制所,浙江杭州310051

出　　处：《上海预防医学》2023年第10期1006-1010,1015,共6页Shanghai Journal of Preventive Medicine

摘　　要：【目的】分析2010—2021年浙江省安吉县≥60岁老年肺结核患者就诊延迟特征,为老年人群肺结核防控提供依据。【方法】通过中国疾病预防控制信息系统结核病管理信息系统收集2010—2021年安吉县老年人肺结核患者资料,分析流行特征和就诊延迟情况,采用多因素logistic回归模型分析就诊延迟的影响因素。【结果】2010—2021年安吉县累计报告老年人肺结核病例1191例,年均报告发病率112.43/10万,呈下降趋势(χ_(趋势)^(2)=11.297,P=0.001)。男女性别比为2.29∶1,主动发现率为0.34%,病原学阳性率为50.63%。就诊延迟718例,就诊延迟时间中位数为19 d,就诊延迟率为60.29%,呈上升趋势(χ_(趋势)^(2)=6.651,P=0.01)。多因素logistic回归分析显示,本地户籍(OR=1.944,95%CI:1.388~2.729)是老年人肺结核就诊延迟的影响因素。【结论】老年肺结核患者是肺结核防治的重点人群,应加强早诊早治,提高主动发现率,降低就诊延迟率,从而降低社区传播风险。[Objective]To characterize delayed visits of elderly patients with tuberculosis aged≥60 years in Anji County,Zhejiang Province from 2010 to 2021,and to provide evidence for the prevention and control of tuberculosis in elderly population.[Methods]Data of elderly patients with tuberculosis in Anji County from 2010 to 2021 were collected through the Tuberculosis Management Information System of National Information System for Disease Control and Prevention.Multivariate logistic regression model was used to determine the influencing factors of delayed visits.[Results]A total of 1191 cases of elderly tuberculosis were reported in Anji County from 2010 to 2021,with an average annual incidence of 112.43/105,showing a decreasing trend(χ_(trend)^(2)=11.297,P=0.001).The male-to-female ratio was 2.29∶1,the active detection rate was 0.34%,and the pathogen-positive rate was 50.63%.There were 718 cases of delayed hospital visits,with a median delay time of 19 days and a delayed visit rate of 60.29%,showing an increasing trend(χ_(trend)^(2)=6.651,P=0.01).Multivariate logistic regression analysis showed that local household registration status was a risk factor affecting the delayed visits for elderly tuberculosis patients(OR=1.944,95%CI:1.388‒2.729).[Conclusion]The elderly patients with tuberculosis are a key population for tuberculosis prevention and control.It is necessary to strengthen early diagnosis and treatment,improve the active detection rate,reduce delayed hospital visits,so as to lower the risk of community transmission.

关 键 词：肺结核 老年人 流行特征 就诊延迟 

分 类 号：R521[医药卫生—内科学]