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目的了解广西两个人均可支配收入不同县,新发涂阳肺结核患者诊治延迟情况,为更有效地开展结核病控制工作提供参考依据。方法采用目的抽样法,选取广西人均可支配收入较高的象州县和人均可支配收入较低的靖西县,利用结核病信息管理系统数据,分析两个县2010年登记报告的新发涂阳肺结核患者的基本情况、诊治延迟状况及差异。结果两个县患者均以男性农民占多数。靖西县患者就诊时间、确诊时间和治疗时间的中位数分别为36 d、3 d和1 d;象州县患者就诊时间、确诊时间和治疗时间的中位数分别为32 d、3 d和0 d。两个县患者就诊延迟(x2=0.20,P=0.654)和确诊延迟(x2=3.07,P=0.215)情况差异无统计学意义,70%以上患者就诊时间超过两周,确诊时间在一周之内。两个县患者治疗延迟差异有统计学意义(x2=69.41,P<0.001),靖西县不同年龄、不同来源的患者治疗延迟发生率均高于象州县。结论两县新发涂阳肺结核患者诊治延迟情况均较普遍,但人均可支配收入较低患者治疗延迟情况较严重。
Objective To understand the delay in diagnosis and treatment of two newly diagnosed smear-positive pulmonary tuberculosis patients in two counties with per capita disposable income in Guangxi and to provide a reference for more effective TB control. Methods Using the purpose sampling method, we selected Xiangzhou County with a high per capita disposable income in Guangxi and Jingxi County with a low per capita disposable income. By using the data of tuberculosis information management system, we analyzed the newly issued smear The basic situation of patients with tuberculosis, diagnosis and treatment of delayed status and differences. The results of two county patients are the majority of male farmers. In Jingxi County, the median time of consultation, diagnosis and treatment were 36 d, 3 d and 1 d, respectively. The median time of consultation, diagnosis and treatment in Xiangzhou county were 32 days and 3 days respectively And 0 d. There was no significant difference between the two counties (x2 = 0.20, P = 0.654) and the confirmed delay (x2 = 3.07, P = 0.215). More than 70% of the patients visited for more than two weeks and the diagnosis time was within one week . The difference in treatment delay between the two county patients was statistically significant (x2 = 69.41, P <0.001). The incidence of treatment delay in patients of different ages and sources in Jingxi County was higher than that in Xiangzhou County. Conclusions The delay of diagnosis and treatment of smear-positive pulmonary tuberculosis patients in both counties is relatively common, but the treatment delay in patients with lower per capita disposable income is more serious.