本文關(guān)鍵詞：山東省濟(jì)南市醫(yī)療機(jī)構(gòu)百日咳診斷能力調(diào)查　出處：《中國(guó)疫苗和免疫》2016年05期 　論文類型：期刊論文

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【摘要】：目的掌握濟(jì)南市醫(yī)療機(jī)構(gòu)百日咳診斷標(biāo)準(zhǔn)的執(zhí)行和實(shí)驗(yàn)室診斷方法使用現(xiàn)狀。方法利用問卷和訪談的形式調(diào)查濟(jì)南市二級(jí)及以上醫(yī)療機(jī)構(gòu)醫(yī)務(wù)人員,收集相關(guān)數(shù)據(jù),結(jié)合百日咳監(jiān)測(cè)數(shù)據(jù)進(jìn)行分析。結(jié)果在49家二級(jí)及以上醫(yī)療機(jī)構(gòu)中39家(79.59%)開展百日咳臨床診斷,其中二級(jí)機(jī)構(gòu)占61.54%,三級(jí)機(jī)構(gòu)占38.46%。在開展百日咳臨床診斷的醫(yī)療機(jī)構(gòu)39名醫(yī)務(wù)人員中,百日咳診斷標(biāo)準(zhǔn)中的典型癥狀選擇正確率分別為陣發(fā)性痙咳100%、持續(xù)咳嗽≥2周94.87%、雞鳴聲87.18%;非典型癥狀分別為青紫30.77%、心動(dòng)過緩20.51%、窒息20.51%、反復(fù)發(fā)作的呼吸暫停15.38%;執(zhí)行臨床診斷病例和確診病例診斷標(biāo)準(zhǔn)的正確率為35.90%。全市百日咳實(shí)驗(yàn)室確診病例比例從2012年的18.75%上升到2014年的56.88%和2015年的79.46%;排除實(shí)驗(yàn)室確診病例后,2014~2015年疫情依然高發(fā)。結(jié)論濟(jì)南市醫(yī)療機(jī)構(gòu)百日咳診斷標(biāo)準(zhǔn)執(zhí)行正確率低,實(shí)驗(yàn)室確診能力不足。實(shí)驗(yàn)室診斷技術(shù)的采用不能完全解釋疫情高發(fā)的原因,百日咳疫情仍有可能被低估,尚需進(jìn)一步研究疫情高發(fā)的原因,及時(shí)調(diào)整免疫策略。
[Abstract]:Objective to understand the status of pertussis diagnosis standard and laboratory diagnosis in Jinan. Methods questionnaire and interview were used to investigate the medical staff of secondary and higher medical institutions in Jinan. Results the clinical diagnosis of pertussis was carried out in 39 out of 49 secondary and higher medical institutions. Among them, the second level organization accounted for 61.54 and the third level for 38.46. Among the 39 medical personnel in the medical institutions that carried out the clinical diagnosis of pertussis. The correct selection rates of typical symptoms in the diagnostic criteria of pertussis were paroxysmal spasmodic cough (100), persistent cough 鈮，

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