本文選題：乙肝　切入點：丙肝　出處：《中國公共衛(wèi)生》2017年05期 　論文類型：期刊論文

【摘要】：目的了解廣西地區(qū)乙肝、丙肝、肺結(jié)核、梅毒4種傳染病診斷符合率,為提高傳染病疫情監(jiān)測及報告質(zhì)量提供科學(xué)依據(jù)。方法于2015年8月采用分層隨機抽樣方法在廣西壯族自治區(qū)抽取21個醫(yī)院(地市級7個、縣區(qū)級14個)2014年1—12月住院的1 044例乙肝、丙肝、肺結(jié)核和梅毒患者進行診斷符合率調(diào)查。結(jié)果廣西21個醫(yī)院乙肝、丙肝、肺結(jié)核和梅毒4種傳染病的診斷符合率為60.82%(635/1 044),地市級綜合醫(yī)院的診斷符合率[68.86%(283/411)]高于縣區(qū)級綜合醫(yī)院[55.61%(352/633)],差異有統(tǒng)計學(xué)意義(χ~2=17.80,P0.001);乙肝、丙肝、肺結(jié)核和梅毒的診斷符合率分別為[61.89%(164/265)]、[37.40%(98/262)]、[83.71%(221/264)]和[60.08%(152/253)],差異有統(tǒng)計學(xué)意義(χ~2=118.53,P0.001);共檢出診斷不符合者409例,其中誤診96例(23.47%),分類錯誤174例(42.54%),分型錯誤133例(32.52%),過診6例(1.47%)。結(jié)論廣西地區(qū)乙肝、丙肝、肺結(jié)核、梅毒4種傳染病診斷符合率較低,地市級綜合醫(yī)院診斷符合率高于縣區(qū)級綜合醫(yī)院。
[Abstract]:Objective to investigate the diagnostic coincidence rate of hepatitis B, hepatitis C, tuberculosis and syphilis in Guangxi. Methods in August 2015, 21 hospitals (7 prefectural and municipal) were selected in Guangxi Zhuang Autonomous region by stratified random sampling. From 2014 to December, 1 044 patients with hepatitis B, hepatitis C, tuberculosis and syphilis were investigated. Results there were 21 hospitals in Guangxi. The diagnostic coincidence rate of pulmonary tuberculosis and syphilis was 60.82 / 635 / 1044, and that of prefectural general hospitals [68.86 / 283 / 411] was higher than that of county and district general hospitals [55.61 / 352 / 633]. The difference was statistically significant (蠂 ~ (217.80) P _ (0.001); hepatitis B, hepatitis C, hepatitis C, P _ (0.001), P _ (0.001)). The diagnostic coincidence rates of pulmonary tuberculosis and syphilis were [61.89 / 164 / 265], [37.4040 / 98 / 262], [83.71 / 221 / 264] and [60.08 / 1522 / 253], respectively. The difference was statistically significant (蠂 ~ (2118.53) P 0.001); 409 cases of misdiagnosis were detected, of which 96 cases were misdiagnosed (23.4747%), 174 cases were misdiagnosed (42.54m), 133 cases were classified wrong (32.52%), and 6 cases were overdiagnosed. Conclusion Guangxi region, hepatitis C, hepatitis C, The diagnostic coincidence rate of pulmonary tuberculosis and syphilis was lower, and the diagnostic coincidence rate of prefectural and municipal general hospitals was higher than that of county and district general hospitals.
【作者單位】： 廣西壯族自治區(qū)疾病預(yù)防控制中心;
【分類號】：R512.6;R521;R759.1

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