發(fā)布時(shí)間：2018-06-07 04:43

  本文選題：隱性梅毒 + 病例報(bào)告　； 參考：《中國(guó)艾滋病性病》2017年11期

【摘要】：目的了解甘肅省隱性梅毒病例的報(bào)告質(zhì)量,發(fā)現(xiàn)存在的問(wèn)題,提出改進(jìn)措施。方法采用分層抽樣方法,選擇甘肅省9個(gè)市(州)、13個(gè)縣(市、區(qū))的21家醫(yī)療機(jī)構(gòu)報(bào)告的隱性梅毒病例進(jìn)行準(zhǔn)確性及影響因素調(diào)查,包括核對(duì)臨床、實(shí)驗(yàn)室原始記錄等,依據(jù)國(guó)家診斷標(biāo)準(zhǔn)進(jìn)行判斷。采用Excel 2007軟件和SPSS 18.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析,包括比例計(jì)算、單因素和多因素Logistic回歸分析等。結(jié)果對(duì)2015年4月1日至2016年3月31日,甘肅省21家醫(yī)療機(jī)構(gòu)報(bào)告的417例隱性梅毒病例進(jìn)行調(diào)查,隱性梅毒病例診斷符合率為83.21%(347例)[95%可信區(qū)間(CI):79.60%~86.80%],報(bào)告準(zhǔn)確率為81.06%(338例)(95%CI:77.29%~84.82%)。多因素Logistic回歸分析結(jié)果顯示,影響隱性梅毒病例診斷準(zhǔn)確性的因素有2個(gè):病例是否會(huì)診[比值比(OR)=6.27,95%CI:1.90~20.73],是否為性病監(jiān)測(cè)點(diǎn)醫(yī)院(OR=5.48,95%CI:1.28~23.39)。結(jié)論甘肅省隱性梅毒的診斷和報(bào)告工作亟待規(guī)范,迫切需要加強(qiáng)培訓(xùn)和病例報(bào)告準(zhǔn)確性監(jiān)管工作,切實(shí)提高病例數(shù)據(jù)的質(zhì)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.
【作者單位】： 甘肅省疾病預(yù)防控制中心;武威市疾病預(yù)防控制中心;
【分類號(hào)】：R759.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李海靜;何建勇;謝麗麗;金海菊;;婚檢發(fā)現(xiàn)隱性梅毒188例分析[J];浙江預(yù)防醫(yī)學(xué);2006年08期

2 王曉林;4例隱性梅毒臨床分析[J];安徽預(yù)防醫(yī)學(xué)雜志;2000年05期

3 張丹群,謝為民,黃湘榮;63例隱性梅毒臨床分析[J];福建醫(yī)藥雜志;2001年05期

4 蔡淼,蔡菲,李海素,劉影,鄒冬冬;兩種方法治療隱性梅毒148例效果比較[J];中國(guó)艾滋病性病;2003年03期

5 藍(lán)海冰,苗剛,龍振華;高齡晚期隱性梅毒1例剖析[J];皮膚病與性病;2005年02期

6 李海靜;何建勇;謝麗麗;金海菊;;婚檢對(duì)象隱性梅毒情況分析[J];現(xiàn)代預(yù)防醫(yī)學(xué);2006年06期

7 陸鳳英;孫承龍;;住院患者合并隱性梅毒的分析及管理[J];交通醫(yī)學(xué);2006年05期

8 梁遠(yuǎn)飛;梁遠(yuǎn)英;邱莉霞;;青霉素聯(lián)合中藥治療隱性梅毒臨床分析[J];蛇志;2011年01期

9 朱庭芳;葉慶喜;;漳州市2000—2009年隱性梅毒流行病學(xué)分析[J];海峽預(yù)防醫(yī)學(xué)雜志;2011年03期

10 李雷;王小亮;陳國(guó)紅;徐曉琴;劉曉燕;胡海洋;徐金水;邱濤;還錫萍;傅更鋒;;江蘇省2008～2010年哨點(diǎn)監(jiān)測(cè)隱性梅毒病例診斷和治療情況分析[J];南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版);2012年12期

相關(guān)會(huì)議論文 前1條

1 李志好;楊勁松;喬虹;劉向陽(yáng);胡靜華;;248例隱性梅毒治療體會(huì)[A];新世紀(jì)預(yù)防醫(yī)學(xué)面臨的挑戰(zhàn)——中華預(yù)防醫(yī)學(xué)會(huì)首屆學(xué)術(shù)年會(huì)論文摘要集[C];2002年

相關(guān)重要報(bào)紙文章 前1條

1 代若玲;當(dāng)心隱性梅毒[N];健康報(bào);2002年

，

本文編號(hào)：1989837