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目的评价并探讨云南省自2005年以来的涂阳肺结核患者就诊延迟情况,为制定针对云南省减少延迟发生的干预措施提供依据。方法分析和比较2005年和2013年涂阳肺结核患者的就诊延迟情况,并探索其影响因素。结果 2005年涂阳患者12 695例,2013年7 256例,就诊延迟天数差异有统计学意义(P<0.001);少数民族、职业为农民以及治疗类型为初治的患者是发生就诊延迟的高危人群。结论经过近10年的防控,患者就诊延迟有了很大改善,特别是老年患者和外地户籍的患者,仍需提高患者就诊意识;今后应针对农民和少数民族,增大卫生服务半径,以发现肺结核患者,减少患者就诊延迟,特别是初治肺结核患者就诊延迟。
Objective To evaluate and discuss the delayed treatment of smear-positive pulmonary tuberculosis patients in Yunnan Province since 2005, and provide the basis for the formulation of interventions to reduce the delay in Yunnan Province. Methods Analyze and compare the treatment delay of smear positive pulmonary tuberculosis patients in 2005 and 2013 and explore the influencing factors. Results There were 12 695 smear positive cases in 2005 and 7 256 cases in 2013. There was a statistically significant difference in the number of days of postponement of treatment (P <0.001). Minorities, occupational peasants and patients with untreated treatment type were the high risk of delayed treatment crowd. Conclusion After nearly 10 years of prevention and control, the delay in the treatment of patients has been greatly improved, especially in elderly patients and those with permanent residents in the field. Therefore, it is still necessary to raise the awareness of patients for treatment. In the future, the radius of health services should be increased for peasants and ethnic minorities. Found that patients with tuberculosis, reduce delays in patient visits, especially treatment of patients with newly diagnosed tuberculosis delayed.