广西地区乙肝、丙肝、肺结核、梅毒诊断符合率调查

发布时间：2018-03-09 13:06

本文选题：乙肝　切入点：丙肝　出处：《中国公共卫生》2017年05期 　论文类型：期刊论文

【摘要】：目的了解广西地区乙肝、丙肝、肺结核、梅毒4种传染病诊断符合率,为提高传染病疫情监测及报告质量提供科学依据。方法于2015年8月采用分层随机抽样方法在广西壮族自治区抽取21个医院(地市级7个、县区级14个)2014年1—12月住院的1 044例乙肝、丙肝、肺结核和梅毒患者进行诊断符合率调查。结果广西21个医院乙肝、丙肝、肺结核和梅毒4种传染病的诊断符合率为60.82%(635/1 044),地市级综合医院的诊断符合率[68.86%(283/411)]高于县区级综合医院[55.61%(352/633)],差异有统计学意义(χ~2=17.80,P0.001);乙肝、丙肝、肺结核和梅毒的诊断符合率分别为[61.89%(164/265)]、[37.40%(98/262)]、[83.71%(221/264)]和[60.08%(152/253)],差异有统计学意义(χ~2=118.53,P0.001);共检出诊断不符合者409例,其中误诊96例(23.47%),分类错误174例(42.54%),分型错误133例(32.52%),过诊6例(1.47%)。结论广西地区乙肝、丙肝、肺结核、梅毒4种传染病诊断符合率较低,地市级综合医院诊断符合率高于县区级综合医院。
[Abstract]:Objective to investigate the diagnostic coincidence rate of hepatitis B, hepatitis C, tuberculosis and syphilis in Guangxi. Methods in August 2015, 21 hospitals (7 prefectural and municipal) were selected in Guangxi Zhuang Autonomous region by stratified random sampling. From 2014 to December, 1 044 patients with hepatitis B, hepatitis C, tuberculosis and syphilis were investigated. Results there were 21 hospitals in Guangxi. The diagnostic coincidence rate of pulmonary tuberculosis and syphilis was 60.82 / 635 / 1044, and that of prefectural general hospitals [68.86 / 283 / 411] was higher than that of county and district general hospitals [55.61 / 352 / 633]. The difference was statistically significant (蠂 ~ (217.80) P _ (0.001); hepatitis B, hepatitis C, hepatitis C, P _ (0.001), P _ (0.001)). The diagnostic coincidence rates of pulmonary tuberculosis and syphilis were [61.89 / 164 / 265], [37.4040 / 98 / 262], [83.71 / 221 / 264] and [60.08 / 1522 / 253], respectively. The difference was statistically significant (蠂 ~ (2118.53) P 0.001); 409 cases of misdiagnosis were detected, of which 96 cases were misdiagnosed (23.4747%), 174 cases were misdiagnosed (42.54m), 133 cases were classified wrong (32.52%), and 6 cases were overdiagnosed. Conclusion Guangxi region, hepatitis C, hepatitis C, The diagnostic coincidence rate of pulmonary tuberculosis and syphilis was lower, and the diagnostic coincidence rate of prefectural and municipal general hospitals was higher than that of county and district general hospitals.
【作者单位】：广西壮族自治区疾病预防控制中心;
【分类号】：R512.6;R521;R759.1

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