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目的了解濮阳市各级医疗机构丙肝诊断标准的应用以及掌握实际病例分类情况,为进一步提高丙肝病例报告质量提供一定依据。方法本研究调查和分析了濮阳市8个县、区2014年第1季度丙肝病例报告情况。结果共调查了8家医院,丙肝病例报告数共65例,核查44例住院病人,未存在漏报情况。临床诊断病例、实验室诊断病例、慢性病例和未分类病例的正确分类率分别为75.0%、72.5%、73.0%和100.00%,不同级别医院的错误诊断分类和错误急慢性分类之间的差异有统计学意义(χ2=19.73,P<0.001)。结论县级丙肝病例报告情况不及市级医院,市、县级医院丙肝病例正确分类率不高,濮阳市丙肝病例报告质量均有待进一步提高。
Objective To understand the application of diagnostic criteria of hepatitis C in medical institutions at all levels in Puyang and to grasp the classification of the actual cases so as to provide some evidences for further improving the quality of report of hepatitis C cases. Methods This study investigated and analyzed the reported hepatitis C cases in the first quarter of 2014 in eight counties and districts of Puyang City. Results A total of 65 hospitals were surveyed in 8 hospitals and hepatitis C cases. 44 inpatients were checked and there was no omission. The correct classification rates of clinical diagnosis, laboratory diagnosis, chronic cases and unclassified cases were 75.0%, 72.5%, 73.0% and 100.00%, respectively. The differences between misdiagnosis classification and wrong classification of acute and chronic diseases Statistical significance (χ2 = 19.73, P <0.001). Conclusions The report of county-level hepatitis C cases is less than the correct classification rate of hepatitis C cases in municipal hospitals, municipal and county hospitals, and the reported quality of hepatitis C cases in Puyang City needs to be further improved.