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为了解我省参加尘肺诊断医师人员掌握尘肺病诊断标准的情况,对100名参加尘肺诊断医师培训人员进行了尘肺读片考核,分析误差情况。结果显示,尘肺诊断读片考核合格率90%。尘肺期别诊断正确率74.59%。小阴影形态判定的错诊率24.72%;不规则形小阴影错诊率(43.88%)高于圆形小阴影(16.55%,P<0.01)。小阴影聚集判定错诊率13.79%,大阴影(<20 mm×10 mm)判定错诊率达42.0%。中级职称者的小阴影形态判定错诊率(28.52%)高于高级职称者(16.98%,P<0.01),市级机构人员的小阴影形态判定错诊率(27.96%)高于省级(13.76%)和县区级机构人员(16.89%,P<0.01),后两者的错诊率差异无统计学意义(P>0.05)。提示我省尘肺诊断医师基本掌握尘肺诊断标准,但不规则形小阴影和大阴影(<20 mm×10 mm)的错诊率较高,需要持续加强业务技术培训。
In order to understand the situation of pneumoconiosis diagnosis physicians in our province to grasp the diagnostic criteria of pneumoconiosis, we conducted a pneumoconiosis reading test on 100 pneumoconiosis diagnosticians and analyzed the error situation. The results show that pneumoconiosis diagnostic reading examination pass rate of 90%. Pneumoconiosis diagnosis rate of 74.59%. The rate of misdiagnosis of small shadow was 24.72%. The misdiagnosis rate of small irregular shadow was 43.88% higher than that of small round shadow (16.55%, P <0.01). The rate of misdiagnosis was 13.79% in small shadow aggregation and 42.0% in large shadow (<20 mm × 10 mm). The rate of misdiagnosis of small shadow form in mid-level grade was 28.52% higher than that of senior grade (16.98%, P <0.01) 13.76%) and county-level agencies (16.89%, P <0.01). There was no significant difference in the misdiagnosis rate between the latter two groups (P> 0.05). Tip pneumoconiosis diagnosticians in our province to basically grasp the diagnostic criteria for pneumoconiosis, but irregular shaped small shadows and large shadow (<20 mm × 10 mm) higher misdiagnosis rate, the need to continue to strengthen business technical training.