海南省疟疾病人诊治和血检情况调查  

Analyis of results of diagnosis and treatment of malaria patients and blood examination in Hainan Province.

作　　者：王光泽[1] 王善青[1] 陈文江[1] 李才旭[1] 蔡红林[1] 

机构地区：[1]海南省疾病预防控制中心,海口市570203

出　　处：《中国热带医学》2003年第5期584-586,共3页China Tropical Medicine

基　　金：卫生部专项资金资助

摘　　要：目的　掌握海南省疟疾病人诊治和血检的实际情况 ,为修订疟防措施提供依据。　方法　选择疟区不同的 4个县部分地区达国家疟疾疫情报告诊断标准的疟疾病例 ,进行个案调查。　结果　个案调查 160 6例 ,疟疾病人选择县级医院、乡级医院、村队诊所、个体诊所、自己购药治疗的比例分别是 7 1%、41 0 %、2 0 7%、2 2 2 %、9 0 % ,疟疾病人对各级医疗机构的选择有显著性差异 (P <0 0 0 1) ;县级医院、乡级医院、村级诊所、个体诊所的疟疾病人血检率分别为 68 4%、3 4 0 %、1 2 %、16 2 %。统计分析不同疟区、不同级别的医疗机构疟疾病人血检确诊率有显著性差异(P <0 0 0 1)。　结论　疟疾病人对医疗机构多样化选择 ,各级医疗机构疟疾病人血检率低和差异大 。Objective To understand the actual status of quality of blood examination,diagnosis and treatment of malaria cases in Hainan Province and provide scientific basis for making effective control measures Methods Individual malaria cases surveys were conducted in 4 counties of different malaria endemic areas where the diagnosis and treatment of malaria cases have been up to the requirement for diagnosis of malaria infections Results 606 malaria cases were individually surveyed and the proportions of choosing county hospitals, township hospitals, village clinics, private clinics and purchase medicine by the patients were 7 1%, 41 0%, 20 7%, 22 2%and 9 0%, respectively, showing significant differences (P<0 001) The blood examination rates in county hospitals, township hospitals, village clinics, private clinics were 68 4%, 34 0%, 1 2%, 16 2%, respectively, also showing significant differences (P<0 001) Conclusion The low blood examination rates and the differences in choosing hospitals by the patients are the important causes leading to the missing report of malaria cases and non-standard treatment of the infections

关 键 词：海南 疟疾 血检 调查 诊断 治疗 

分 类 号：R531.3[医药卫生—内科学]