江苏省乙型肝炎病例实验室诊断符合率调查分析

目的 :调查分析2012年江苏省乙肝病例实验室诊断符合情况。方法 :采用分层随机抽样的方法 ,在江苏省南、中、北部三地区各抽2~3地市,再分别抽取省、市、县级医疗机构。结果:本次共调查23家县级及以上医疗机构,收回有效调查病例287例,实验室诊断符合率为75.26%。省级医疗机构诊断符合率最低;临床医生乙肝实验室诊断标准知晓率为23.68%,诊断与报告类型知晓率为36.52%,县级医疗机构临床医生两者知晓率均最高。结论:江苏省乙肝实验室诊断符合率相对较高,但临床医生乙肝相关知识知晓率亟待提高。需进一步加强培训与沟通,完善乙肝监测网络。

Analysis of laboratory diagnosis coincidence rate of hepatitis B in Jiangsu Province

Objective:To analyze laboratory diagnosis coincidence rate of hepatitis B in Jiangsu Province in 2012. Methods:Stratified random method was used to chose 2-3 cities from each of south,middle and north of Jiangsu Province,and further chose the provincial,municipal and county hospitals from each city. Results:The laboratory diagnosis coincidence rate was 75.26% based on effective 287 cases from a total of 23 county-level or above medical institutions. The diagnostic accordance rate in the provincial hospitals was the lowest. The awareness rates of laboratory diagnostic criteria and report type of HBV for clinicians were 23.38% and 36.52%,respectively,the highest of which was from country hospitals. Conclusion:The laboratory diagnosis coincidence rate of hepatitis B in Jiangsu Province is relative high,however,the awareness rate about HBV relevant knowledge needs to be improved. Therefore,it is necessary to strengthen the training and communication,improve the HBV monitoring network as well as propel practical HBV diagnostic criteria.