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目的 :调查分析2012年江苏省乙肝病例实验室诊断符合情况。方法 :采用分层随机抽样的方法 ,在江苏省南、中、北部三地区各抽2~3地市,再分别抽取省、市、县级医疗机构。结果:本次共调查23家县级及以上医疗机构,收回有效调查病例287例,实验室诊断符合率为75.26%。省级医疗机构诊断符合率最低;临床医生乙肝实验室诊断标准知晓率为23.68%,诊断与报告类型知晓率为36.52%,县级医疗机构临床医生两者知晓率均最高。结论:江苏省乙肝实验室诊断符合率相对较高,但临床医生乙肝相关知识知晓率亟待提高。需进一步加强培训与沟通,完善乙肝监测网络。
Objective: To investigate and analyze the coincidence of diagnosis of hepatitis B cases laboratory in Jiangsu Province in 2012. Methods: By stratified random sampling method, 2 to 3 cities in each of the three regions of south, middle and north of Jiangsu Province were drawn, and then medical institutions at provincial, city and county levels were drawn respectively. Results: A total of 23 medical institutions at the county level and above were investigated and 287 valid investigation cases were recovered. The coincidence rate of laboratory diagnosis was 75.26%. Provincial medical institutions with the lowest diagnostic coincidence rate; clinicians awareness of hepatitis B laboratory diagnostic criteria was 23.68%, 36.52% awareness of the type of diagnosis and reporting, county-level medical institutions, the highest awareness rate of both clinicians. Conclusion: The coincidence rate of laboratory diagnosis of hepatitis B in Jiangsu Province is relatively high, but the awareness of hepatitis B related knowledge needs to be improved urgently. Need to further strengthen training and communication, improve hepatitis B monitoring network.