赣州市5年新发麻风患者误诊分析

发布时间：2018-12-13 04:22

【摘要】：目的:分析总结赣州市新发麻风患者被误诊的情况,为麻风防治提供依据。方法:收集近5年赣州市新发麻风患者的临床资料,对其误诊情况进行分析。结果:2011—2015年,赣州市共确诊72例麻风患者,其中临床多菌型占73.71%,临床少菌型占26.39%;首次就医确诊率为12.50%,63例有误诊经历,误诊率达87.50%,其中临床多菌型麻风误诊率为94.23%,临床少菌型误诊率为70.00%。误诊患者中,误诊为皮肤科疾病者占57.58%,误诊为其他科疾病者占42.42%。结论:在麻风低流行状态下,加大麻风防治机构能力建设、强化临床医生的麻风防治技能培训及提高医生对麻风的警惕性和诊断水平是减少误诊或漏诊的关键。
[Abstract]:Objective: to analyze and summarize the misdiagnosis of newly developed leprosy patients in Ganzhou, and to provide evidence for the prevention and treatment of leprosy. Methods: the clinical data of newly developed leprosy patients in Ganzhou City in recent 5 years were collected and the misdiagnosis was analyzed. Results: from 2011 to 2015, 72 cases of leprosy were diagnosed in Ganzhou city, of which 73.71 cases were clinical bacillary type and 26.39 cases were clinical oligobacteriosis type. The first diagnosis rate was 12.50% and 63 cases had misdiagnosis experience, the misdiagnosis rate was 87.50, among which the misdiagnosis rate of clinical aseptic leprosy was 94.233.The misdiagnosis rate of clinical oligobacteriosis was 70.00g. Of the misdiagnosed patients, 57.58 were misdiagnosed as dermatologic diseases, 42.42 were misdiagnosed as other diseases. Conclusion: under the condition of low prevalence of leprosy, the key to reduce misdiagnosis or missed diagnosis is to strengthen the capacity building of leprosy prevention and control institutions, strengthen the training of clinicians' leprosy prevention and treatment skills, and improve their vigilance and diagnostic level on leprosy.
【作者单位】：赣州市南康区皮肤病防治所皮肤科;赣州市皮肤医院社防科;江西省寄生虫病防治研究所麻防科;
【基金】：江西省卫生计生委科技计划(20132007) 中国-荷兰麻风病防治合作项目-卫生系统研究项目(HSR-2011-04)资助项目
【分类号】：R755

【相似文献】