基于CNKI近20年亚急性甲状腺炎误诊文献的数据分析与对策研究

Data Analysis and Countermeasure Research on Misdiagnosis of Subacute Thyroiditis Based on CNKI in Recent 20 Years

目的旨在分析国内亚急性甲状腺炎(SAT)的误诊现状、原因并制定相应对策。方法回顾性分析国内近20年中国知网学术期刊数据库(CNKI)收录的文献,总结SAT被误诊的年龄、性别比例、疾病种类及原因。结果搜索到符合要求的相关文献共84篇,1472例误诊病例,误诊1576次,平均年龄(40.72±5.15)岁,男女比例1∶3.27,被误诊病种共计46种,其中排名前3位的疾病依次是上呼吸道感染(404例)、甲状腺功能亢进(197例)、咽炎(175例),占总误诊次数的49.24%;被误诊为内分泌系统疾病共计13种717例(45.49%),呼吸系统疾病共计2种405例(25.70%),耳鼻喉科疾病共计7种330例(20.94%),占总误诊次数的92.13%。误诊原因与非内分泌专科医生对该病认识不足,病史采集、体检不细致及该病的临床表现复杂多样等关系密切。结论临床医师需提高对SAT的认识,养成认真负责、严谨的工作态度,降低误诊率。

Objective To analyze the current status and causes of misdiagnosis of subacute thyroiditis (SAT) in China and to formulate corresponding countermeasures. Methods A retrospective analysis of the literature collected by CNKI database in the past20 years is conducted to summarize the age,male-female ratio,disease type and cause of SAT misdiagnosis. Results 84 related articles were found,including1472 misdiagnosed cases,1 576 misdiagnosed times,average age (40.72±5.15) years old,male to female ratio1∶3.27, 46 misdiagnosed diseases,of which the top 3 diseases was upper respiratory tract infection (404 cases),hyperthyroidism (197 cases),pharyngitis (175 cases),accounting for 49.24% of the total number of misdiagnosis.Misdiagnosed as endocrine system diseases were13 kinds of 717 cases (45.49%),405 cases (25.70%) of respiratory diseases, and 330 cases (20.94%) of ENT diseases,accounting for 92.13% of total misdiagnosis.The cause of misdiagnosis was closely related with non-endocrine specialists′ insufficient awareness of the disease and the history of medical records,physical examination,and the complex clinical manifestations of the disease. Conclusion Clinicians need to improve their understanding of the SAT,develop a serious and responsible work attitude,and reduce the rate of misdiagnosis.