广西两个人均可支配收入不同县新发涂阳肺结核患者诊治延迟情况分析

发布时间：2019-05-23 12:10

【摘要】：目的了解广西两个人均可支配收入不同县,新发涂阳肺结核患者诊治延迟情况,为更有效地开展结核病控制工作提供参考依据。方法采用目的抽样法,选取广西人均可支配收入较高的象州县和人均可支配收入较低的靖西县,利用结核病信息管理系统数据,分析两个县2010年登记报告的新发涂阳肺结核患者的基本情况、诊治延迟状况及差异。结果两个县患者均以男性农民占多数。靖西县患者就诊时间、确诊时间和治疗时间的中位数分别为36 d、3 d和1 d;象州县患者就诊时间、确诊时间和治疗时间的中位数分别为32 d、3 d和0 d。两个县患者就诊延迟(x2=0.20,P=0.654)和确诊延迟(x2=3.07,P=0.215)情况差异无统计学意义,70%以上患者就诊时间超过两周,确诊时间在一周之内。两个县患者治疗延迟差异有统计学意义(x2=69.41,P0.001),靖西县不同年龄、不同来源的患者治疗延迟发生率均高于象州县。结论两县新发涂阳肺结核患者诊治延迟情况均较普遍,但人均可支配收入较低患者治疗延迟情况较严重。
[Abstract]:Objective to investigate the delayed diagnosis and treatment of new smear positive pulmonary tuberculosis in two counties with per capita disposable income in Guangxi, and to provide reference for more effective tuberculosis control. Methods Xiangzhou County with higher per capita disposable income in Guangxi and Jingxi County with low per capita disposable income were selected by objective sampling method, and the data of tuberculosis information management system were used. To analyze the basic situation, diagnosis and treatment delay of new smear positive pulmonary tuberculosis patients registered in 2010 in two counties. Results male farmers accounted for the majority of patients in both counties. The median time of treatment, diagnosis time and treatment time of patients in Jingxi County were 36 days, 3 days and 1 day, respectively, and the median time of diagnosis, diagnosis and treatment of patients in Xiangzhou County were 32 days, 3 days and 0 days, respectively. There was no significant difference between the two counties. There was no significant difference between the two counties. More than 70% of the patients were treated for more than two weeks, and the diagnosis time was less than one week. There was no significant difference in the delay of diagnosis between the two counties (x20.20, P 0.654) and the delay of diagnosis (x23.07, P 0.215). There was significant difference in treatment delay between the two counties (x2: 6941, P0.001). The incidence of delayed treatment in Jingxi County was higher than that in Xiangzhou County at different ages and sources. Conclusion the delayed diagnosis and treatment of new smear positive pulmonary tuberculosis patients in both counties are more common, but the treatment delay of patients with low disposable income per capita is more serious.
【作者单位】：广西医科大学公共卫生学院流行病与卫生统计学教研室;广西壮族自治区人民医院预防保健科;广西壮族自治区疾病预防控制中心结核病防制所;
【基金】：广西壮族自治区疾病预防控制中心第五批中心资助课题(201109)
【分类号】：R521

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