目的 分析芜湖市结核病患者发现延误情况,并探讨影响因素。方法 收集2016年芜湖市结核病患者的病案信息,应用SPSS 16.0和Excel 2007软件分析结核病患者发现延误时间,采用logistic多因素回归分析患者延误时间的影响因素。结果 2016年芜湖市共报告结核病患者1 879例,患者延误时间呈正偏态分布,患者延误时间中位数为23 d,发生延误的患者占69.1%,确诊延误时间也呈正偏态分布,确诊延误时间中位数为1 d,确诊延误的患者占11.8%,患者发现延误时间与患者首诊地区、患者来源、诊断结果等因素有关。结论 芜湖市结核病患者延误和发现延误的情况比较严重,采取综合管理措施,缩短患者发现延误时间,以减少患者对人群的传播威胁。

Objective To analyze the delay found in TB patients in Wuhu and explore the influencing factors. Methods The patient's case information was collected in 2016,and data was analyzed using the SPSS 16.0 and Excel 2007 software. The relationship between the patient's delay time and the patient's characteristics were analyzed by using logistic regression analysis. Results In 2016,a total of 1879 tuberculosis patients were reported in Wuhu city. The delay time was positively skewed. The median number of patient's delay time was 23 days,and 69.1% patients were delayed. The median number of diagnostic delay time was 1 day,and the percentage of patients with delayed diagnosis was 11.8%.The patient's delay time was related to the patient's first diagnosis area,the patient's source,and the diagnosis result . Conclusion In Wuhu city,there was a serious delay in the discovery of tuberculosis patients. It was found that the delay time was mainly determined by patient's delay time. We should strengthen tuberculosis health education,improve the awareness rate of tuberculosis prevention and cure knowledge,strengthen the centralized management of non tuberculosis institutions,standardize the medical diagnosis and treatment behavior,so as to shorten the delay time,and reduce the infection of the patients to the surrounding population.