甘肃省隐性梅毒诊断报告准确性及其影响因素分析

发布时间：2018-06-07 04:43

本文选题：隐性梅毒 + 病例报告　；参考：《中国艾滋病性病》2017年11期

【摘要】：目的了解甘肃省隐性梅毒病例的报告质量,发现存在的问题,提出改进措施。方法采用分层抽样方法,选择甘肃省9个市(州)、13个县(市、区)的21家医疗机构报告的隐性梅毒病例进行准确性及影响因素调查,包括核对临床、实验室原始记录等,依据国家诊断标准进行判断。采用Excel 2007软件和SPSS 18.0统计软件进行统计分析,包括比例计算、单因素和多因素Logistic回归分析等。结果对2015年4月1日至2016年3月31日,甘肃省21家医疗机构报告的417例隐性梅毒病例进行调查,隐性梅毒病例诊断符合率为83.21%(347例)[95%可信区间(CI):79.60%~86.80%],报告准确率为81.06%(338例)(95%CI:77.29%~84.82%)。多因素Logistic回归分析结果显示,影响隐性梅毒病例诊断准确性的因素有2个:病例是否会诊[比值比(OR)=6.27,95%CI:1.90~20.73],是否为性病监测点医院(OR=5.48,95%CI:1.28~23.39)。结论甘肃省隐性梅毒的诊断和报告工作亟待规范,迫切需要加强培训和病例报告准确性监管工作,切实提高病例数据的质量。
[Abstract]:Objective to investigate the report quality of recessive syphilis cases in Gansu Province, to find out the existing problems and to put forward some improvement measures. Methods A stratified sampling method was used to investigate the accuracy and influencing factors of hidden syphilis cases reported by 21 medical institutions in 9 cities (prefectures, 13 counties, districts) of Gansu province, including checking the original records of clinical and laboratory, etc. Judge according to the national diagnostic criteria. Excel 2007 software and SPSS 18.0 software were used to carry out statistical analysis, including proportion calculation, single factor and multivariate Logistic regression analysis and so on. Results from April 1, 2015 to March 31, 2016, 417 cases of recessive syphilis reported by 21 medical institutions in Gansu Province were investigated. The diagnostic coincidence rate of recessive syphilis cases was 83.21 and 347 cases. [95% CI: 79.60%] and 86.80% of them, the accuracy of reporting was 81.06%. The results of multivariate Logistic regression analysis showed that there were two factors influencing the diagnostic accuracy of recessive syphilis cases: whether the cases were consulted or not [the ratio was 6.2795 CI: 1.90% 20.73], and whether it was the hospital of the surveillance point of venereal diseases. Conclusion the diagnosis and reporting of recessive syphilis in Gansu Province need to be standardized urgently. It is urgent to strengthen the work of training and monitoring the accuracy of case report so as to improve the quality of case data.
【作者单位】：甘肃省疾病预防控制中心;武威市疾病预防控制中心;
【分类号】：R759.1

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