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目的通过在桐乡市医疗单位建立梅毒规范化医疗服务管理模式,规范临床医师梅毒的诊断治疗及管理等行为,遏制梅毒的进一步流行。方法建立了市卫生局、市疾病预防控制中心和医疗机构三级管理体系,全市9家性病诊疗机构作为管理对象,全部纳入梅毒规范化医疗服务达标考核。结果桐乡市自2013年9月启动梅毒规范化医疗服务达标管理模式,各性病门诊环境设备符合率从基线调查的42.86%上升到终期的100%,且差异有统计学显著意义(P<0.05)。性病病人梅毒主动筛查率从2012上半年的30.86%、2013年上半年的27.50%,提高到2014年上半年的85.92%,差异有统计学意义(P<0.05)。2014年上半年梅毒诊断符合率100%,梅毒规范治疗率95.68%,各项指标均符合达标考核要求。结论在性病门诊建立梅毒规范化医疗服务达标管理模式,可以减少梅毒的进一步传播,值得倡导及推广。
Objective To curb the further epidemic of syphilis by establishing syndromic standardized medical service management model in medical units in Tongxiang and regulating the diagnosis, treatment and management of syphilis among clinicians. Methods The municipal health bureau, the municipal disease prevention and control center and the three levels of medical institutions management system, the city’s nine STD clinics as a management object, all included in the standardization of syphilis medical services assessment. Results Tongxiang City started standard management of syphilis standardized medical services since September 2013. The coincidence rate of environmental equipment for STD clinics increased from 42.86% of the baseline survey to 100% of the end of the survey, and the difference was statistically significant (P0.05) . The active screening rate of syphilis among STD patients was 30.86% in the first half of 2012, 27.50% in the first half of 2013, and 85.92% in the first half of 2014, with a significant difference (P <0.05). In the first half of 2014, the coincidence rate of syphilis diagnosis was 100% and syphilis standard treatment rate was 95.68%. All the indexes met the requirements of standard assessment. Conclusions The establishment of standardized management of syphilis standard services in STD clinics can reduce the further spread of syphilis and deserve promotion and promotion.