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目的了解山东省城区登记的结核病人就诊情况和确诊情况,为提高城区的结核病服务质量提出建议。方法对山东省泰山区等4个地级市的城区结防机构登记的246例肺结核病人进行问卷调查。结果病人自发病至初次就诊平均间隔12d,病人延误的主要原因是对病情不在乎;67.5%的病人存在确诊延误,不同婚姻状况和选择不同首诊机构的患者,确诊延误的差异具有统计学意义。结论需要开展群众性健康教育,提高结核病知晓率,使病人出现结核病疑似症状后及时就诊;应鼓励结核可疑者在发病后首选结防机构、区级以上综合医疗机构或专科医院就诊。
Objective To understand the treatment and diagnosis of tuberculosis cases registered in urban areas of Shandong Province and to provide suggestions for improving the service quality of tuberculosis in urban areas. Methods A total of 246 pulmonary tuberculosis patients registered in urban prevention and control institutions of 4 prefecture-level cities such as Taishan District of Shandong Province were surveyed. Results The average delay between the first episode and the first visit was 12 days. The main reason for the delay in patients was that they did not care. 67.5% patients had definite diagnosis delay, different marital status and patients with different first diagnosis agencies. The differences of the diagnosis delay were statistically significant. Conclusions Mass health education should be carried out to raise the awareness rate of tuberculosis so that patients may be treated promptly after the occurrence of suspected symptoms of tuberculosis. Tuberculosis suspects should be encouraged to attend the first choice of prevention and control institutions, general medical institutions or special hospitals above the district level after onset.