| 摘要: |
| ［摘要］ 目的 分析广西新发涂阳肺结核患者确诊延迟情况及影响因素，为结核病防治工作提供参考。方法 从广西现行的4种结核病防治模式单位抽取180例2011年登记报告的新发涂阳肺结核患者的病案信息进行统计分析。结果 广西新发涂阳肺结核患者确诊延迟率为44.4%，确诊时间中位数为19 d。Logistic回归分析显示，男性（OR=3.502，P=0.006）及确诊于CDC模式单位（OR=2.797，P=0.032）的患者发生确诊延迟的风险较大。结论 通过加强结核病健康教育，积极出台各项惠民措施，因地制宜地逐步推行结核病诊疗模式转型，有利于减少肺结核患者确诊延迟的发生。 |
| 关键词: 结核 肺 诊断延迟 卫生调查 |
| DOI：10.3969/j.issn.1674-3806.2014.02.06 |
| 分类号:R 56 |
| 基金项目:广西壮族自治区疾病预防控制中心医药卫生科研项目（编号：201109） |
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| Factors associated with diagnosis delay for patients with new smear-positive pulmonary tuberculosis in Guangxi |
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WU Teng-yan，LIU Fei-ying，HUANG Shu-hai，et al.
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Institute of Tuberculosis Prevention and Control，Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention，Nanning 530028，China
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| Abstract: |
| ［Abstract］ Objective To study the condition and influencing factors associated with diagnosis delay for patients with new smear-positive pulmonary tuberculosis, in order to provide a reference for tuberculosis control work in Guangxi.Methods One huandred and eighty patients with new smear-positive pulmonary tuberculosis reported in 2011were selected from 4 units of different tuberculosis control mode, and the data of medical record information were collected for statistical analysis.Results The diagnosis delayed rate was 44.4% in patients with new smear-positive pulmonary tuberculosis, the median time of diagnosis was 19 days. Logistic regression analysis showed that patients with the gender of men(OR=3.502, P=0.006) and came from the unit of CDC control mode(OR=2.797, P=0.032) had higher risk of diagnosis delay.Conclusion It was useful to strengthen the tuberculosis health education，develop measures of benefit to the people，and gradually implement transformation of the tuberculosis control mode，for reducing the happening of diagnosis delay in Guangxi. |
| Key words: Tuberculosis Lung Diagnosis delay Health surveys |
