设立监测点和统一报告标准对乙型肝炎诊断报告的影响研究

发布时间：2018-06-24 03:16

本文选题：肝炎 + 乙型　；参考：《中华疾病控制杂志》2015年02期

【摘要】：目的了解网络直报后实施的管理措施对乙肝诊断报告的影响。方法采用描述流行病学方法,对2004-2013年《中国疾病预防控制信息系统》终审报告的乙肝病例的发病趋势、分类、实验室确诊等情况进行分析,对天津实施措施前后和国家同期比较,分析指标变化情况。结果网络直报初期天津与国家发病趋势一致(t=1.00,P=0.421),均上升,建立报告标准后天津发病趋势改变(x2趋势=924.84,P0.001),与国家趋势不同(t=9.74,P0.001);统一标准后发病数(率)下降的主要以慢性乙肝为主;通过设立肝炎监测点能够提高乙肝分类率、实验室诊断率和肝炎分型率等主要诊断指标质量。结论设立肝炎监测点能够提高乙肝诊断和报告质量,制定明确统一的乙肝报告标准是结束混乱报告及保证连续监测有效的根本措施。
[Abstract]:Objective to understand the effect of management measures on the diagnosis of hepatitis B after network direct reporting. Methods the epidemiological methods were used to analyze the incidence of hepatitis B cases, classification and laboratory diagnosis of the 2004-2013 year "China Information System for disease prevention and control information system > final trial", and the implementation of measures in Tianjin and the same period of the country. Compared with the national trend (t=1.00, P=0.421) in the early stage of network direct reporting (t=1.00, P=0.421), the trend of the disease was changed (x2 trend =924.84, P0.001), and the trend was different from the national trend (t=9.74, P0.001). Hepatitis B monitoring point can improve the quality of hepatitis B classification rate, laboratory diagnosis rate and hepatitis type rate. Conclusion establishing hepatitis monitoring point can improve the quality of hepatitis B diagnosis and report, and formulating a clear and unified standard of hepatitis B report is the fundamental measure to end the chaos report and ensure the effectiveness of continuous monitoring.
【作者单位】：天津市疾病预防控制中心传染病控制所;
【基金】：天津市卫生局科技基金面上项目(2012KY14)
【分类号】：R512.62

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