山东省4地市城区登记肺结核患者诊断状况的调查分析

目的 了解山东省城区登记的结核病人就诊情况和确诊情况，为提高城区的结核病服务质量提出建议。方法 对山东省泰山区等4个地级市的城区结防机构登记的246例肺结核病人进行问卷调查。 结果 病人自发病至初次就诊平均间隔12 d，病人延误的主要原因是对病情不在乎；67.5%的病人存在确诊延误，不同婚姻状况和选择不同首诊机构的患者，确诊延误的差异具有统计学意义。 结论 需要开展群众性健康教育，提高结核病知晓率，使病人出现结核病疑似症状后及时就诊；应鼓励结核可疑者在发病后首选结防机构、区级以上综合医疗机构或专科医院就诊。

Analysis of pulmonary tuberculosis patients registered at TB dispensaries in urban areas of four prefectures in Shandong province

Objective To understand the diagnosis and treatment condition of pulmonary tuberculosis（PTB） patients registered at urban TB dispensaries,in order to provide policy recommendations for quality improvement of TB services.Methods A total of 246 PTB patients registered in urban TB dispensaries of four prefectures were investigated by structured questionnaires.Results The average interval from onset of the disease to first visit to doctor was 12 days.The major reason for patients＇ delay was that patients did not care for the symptoms.67.5% of TB patients experienced diagnosis delay.In terms of diagnosis delay,there were statistically significant differences between groups with different marital status and choices of health facilities in their first medical visits.Conclusion We should conduct mass health education to improve TB awareness and reduce patient＇s delay.In order to reduce the diagnosis delay,we should also encourage TB suspects to seek care at TB dispensaries,or general hospitals of district level and above,or special TB hospitals in their first medical visit after onset of disease.