东莞市综合医院梅毒报告病例诊断和分期准确性及规范治疗情况分析

发布时间：2018-04-16 11:00

本文选题：梅毒 + 报告病例　；参考：《中国艾滋病性病》2017年10期

【摘要】：目的分析东莞市综合医院梅毒报告病例诊断和分期的准确性及规范治疗情况,为进一步改进梅毒预防控制与医疗质量提供依据。方法从国家疾病预防控制信息系统中,导出2015年7月1日至2016年6月30日期间东莞市20家医院报告的梅毒病例,每家医院随机抽查50例,不足50例者全部抽查。由专业人员按国家梅毒诊断标准和治疗指南,评估梅毒病例诊断和分期的准确性及规范治疗情况。结果共纳入核查资料完整可分析的893例梅毒病例,其中一期梅毒71例,占7.95%;二期梅毒97例,占10.86%;三期梅毒20例,占2.24%;胎传梅毒13例,占1.46%;隐性梅毒692例,占77.49%。梅毒诊断准确率为90.03%,分期准确率为65.85%,规范治疗率71.89%。各期梅毒诊断和分期准确率差异有统计学意义("2=23.772,P0.001;"2=23.309,P0.001),胎传梅毒诊断准确率最低,三期梅毒最高。综合医院中皮肤性病科诊断准确率(93.45%vs 86.45%)、分期准确率(72.95%vs 59.31%)和规范治疗率(91.27%vs 51.49%)要高于非皮肤性病科;三级医院的规范治疗率(87.78%vs 65.29%)高于二级医院。结论东莞市综合医院梅毒诊断准确率较高,但分期准确性不高,规范治疗率低于国家要求。应重点加强非皮肤科室人员的梅毒诊疗培训和督导,落实会诊转诊制度,提高梅毒分期准确率和规范治疗率。
[Abstract]:Objective to analyze the accuracy and standardization of syphilis diagnosis and staging in Dongguan General Hospital, and to provide basis for further improvement of syphilis prevention, control and medical quality.Methods the syphilis cases reported from 20 hospitals in Dongguan City from July 1, 2015 to June 30, 2016 were derived from the National Disease Prevention and Control Information system. 50 cases were randomly selected in each hospital, and 50 cases were selected for less than 50 cases.The accuracy and treatment of syphilis diagnosis and staging are evaluated by professionals according to national criteria and guidelines for syphilis treatment.Results A total of 893 syphilis cases including primary syphilis (7.95%), secondary syphilis (10.86 cases), third syphilis (2.24%), fetal syphilis (1.46%), recessive syphilis (1.46%) and recessive syphilis (692 cases) were included.The diagnostic accuracy of syphilis was 90.03, the accuracy of staging was 65.85, and the standardized treatment rate was 71.89.The accuracy rates of diagnosis and staging of syphilis in different stages were significantly different ("2o 23.772n P0.001"), and the accuracy rate of diagnosis of fetal syphilis was the lowest, and that of stage III syphilis was the highest.The diagnostic accuracy of dermatology and venereal diseases was 93.45 vs 86.45 and the accuracy rate of staging was 72.95% vs 59.31%) and the standardized treatment rate was 91.27% vs 51.49%) higher than that in non-dermatological department, and the standard treatment rate in tertiary hospitals was 87.78 vs 65.29%) higher than that in grade two hospitals.Conclusion the diagnostic accuracy of syphilis in Dongguan General Hospital is high, but the accuracy of staging is not high, and the standardized treatment rate is lower than that required by our country.Emphasis should be placed on strengthening the training and supervision of syphilis diagnosis and treatment for non-skin department personnel, implementing the consultation and referral system, improving the accuracy of syphilis staging and standardizing the treatment rate.
【作者单位】：东莞市第六人民医院;东莞市人民医院;东莞市第五人民医院;
【基金】：广东省医学科研基金:广东省梅毒综合防控模式的应用研究(C2016021)~~
【分类号】：R759.1

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