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目的了解福州地区肺结核患者就诊延迟情况,探索其影响因素。方法收集福州地区2008—2014年登记结核病患者资料共计26 079例,用描述性分析就诊延迟率;用秩和检验分析不同性别、年龄、职业、户籍、患者来源和登记类型的就诊延迟差异;用logistic回归分析性别、年龄、职业、患者来源、登记类型对就诊延迟的影响。结果福州地区肺结核患者就诊延迟率为63.8%(16 628/26 079),就诊延迟28d(中位数),有45.8%患者就诊延迟≥1个月。农民工就诊延迟率高于其他职业,因症就诊患者就诊延迟天数最多。结论福州地区肺结核患者就诊延迟率较高,建议采取综合措施减少就诊延迟。
Objective To understand the delay of visiting tuberculosis patients in Fuzhou and explore the influencing factors. Methods A total of 26 079 cases of TB patients registered in Fuzhou from 2008 to 2014 were collected, and the delay rate of visits was analyzed by descriptive analysis. Differences in visit delay between different sex, age, occupation, household registration, patient source and registration type were analyzed by rank sum test. Logistic regression analysis of gender, age, occupation, source of patients, registration type on the impact of treatment delays. Results The delay rate of visiting TB patients in Fuzhou was 63.6% (16 628/26 079). The visit was delayed 28 days (median). 45.8% of patients were delayed for more than 1 month. The delayed treatment rate of migrant workers is higher than that of other occupations, and the number of days of visiting patients treated by symptoms is the highest. Conclusions The delay rate of visiting tuberculosis patients in Fuzhou area is high, and it is suggested that comprehensive measures be taken to reduce the delay of the visit.