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目的评价农村老年肺结核患者发现延误的综合干预效果。方法比较2010年起湖州市吴兴区采取医防合作及结核病防治知识宣传等综合性措施前后,在湖州市结核病定点医院诊治的农村≥60岁新发涂阳肺结核患者就诊延误、确诊延误和发现延误情况。结果干预前患者就诊时间间隔、确诊时间间隔、发现时间间隔中位数分别为19 d、6 d、49 d;其中存在就诊延误、确诊延误、发现延误的患者分别占58.23%、29.54%、66.24%。干预后患者就诊时间间隔、确诊时间间隔、发现时间间隔中位数分别为11 d、3 d、33 d;其中存在就诊延误、确诊延误、发现延误的患者分别占45.71%、19.05%、51.43%。干预后患者就诊延误、确诊延误、发现延误比例均低于干预前(P<0.05)。结论湖州市吴兴区综合干预措施取得了一定成效,可在农村老年人群肺结核防治工作中推广应用。
Objective To evaluate the comprehensive intervention effect of delayed detection of senile pulmonary tuberculosis in rural areas. Methods Before and after the comprehensive measures of medical prevention cooperation and prevention and treatment of tuberculosis in Wuxing District of Huzhou City from 2010 to 2010, the newly diagnosed smear-positive pulmonary tuberculosis patients in rural areas ≥60 years of age who were diagnosed and treated in Huzhou TB Hospital were delayed in treatment, diagnosed and found to be delayed Happening. Results The median time interval of diagnosis and treatment before intervention was 19 days, 6 days and 49 days respectively. There were 58.23%, 29.54%, and 66.24 respectively of delayed treatment, delayed diagnosis and delayed discovery. %. The median time interval between diagnosis and treatment was 11 days, 3 days and 33 days respectively after intervention. There were 45.71%, 19.05% and 51.43% of the patients with delayed treatment, delayed diagnosis and delayed diagnosis respectively. . After the intervention, the delay in diagnosis and treatment and the delay in diagnosis were lower than those before intervention (P <0.05). Conclusion The comprehensive interventions in Wuxing District of Huzhou City have achieved some success and can be popularized and applied in the prevention and treatment of pulmonary tuberculosis in the elderly in rural areas.