2015~2019年昌平区结核病防治所初诊就诊患者登记情况分析

Analysis on the registration of the first visit patients in Changping tuberculosis prevention and Control Institute from 2015 to 2019

目的分析2015~2019年我区结核病防治所门诊初诊就诊患者数据,评估本地区结核病定点医疗机构结防工作效果,为制定下一步工作重点提供技术依据.方法用Microsoft Excel 2016软件构建数据库,使用SPSS20.0统计分析2015~2019年昌平结防所门诊初诊就诊患者的基本信息、来源和确诊信息.结果2015~2019年昌平区结核病防治所共登记初诊就诊患者9711例,男女性别比例为1.73:1,男性和女性平均年龄分别为(40.73±17.99)岁和(42.06±17.94)岁.占比最多的职业前五位依次为农民(25.45%)、家务及待业(21.92%)、学生(12.32%)、工人(11.96%)和离退人员(8.54%).全部9711例初诊就诊者中转诊患者占比最高(32.46%),其次为因症就诊(27.07%)和因症推荐(23.58%).五年间咳嗽≥2周就诊者的确诊比例均高于咳嗽时间不超过2周者(P<0.05),胸片检查异常者肺结核检查率远高于胸片无异常者(P<0.05).结论在就诊患者职业中主要是农民和家务及待业.转诊、因症就诊和因症推荐是初诊患者的主要来源,咳嗽≥2周的出现和胸片异常结果均为发现肺结核的重要参考指标.

0bjective To analyze the data of outpatients in Changping Institute for Tuberculosis Prevention and Control from 2015 to 2019,so as to provide technical basis for evaluating the effect of tuberculosis prevention in this area and formulating the focus of work in the future.Methods Microsoft Excel 2016 software was used to construct the database,and SPSS20.0 was used to analyze the basic information,source and diagnosis information of the first visit in Changping Institute from 2015 to 2019.Results From 2015 to 2019,9711 citizens were registered in the institute,and the gender ratio was 1.73:1.The average age of male and female was(40.73±17.99)and(42.06±17.94),respectively.Farmers(25.45%),housework and unemployment(21.92%),students(12.32%),workers(11.96%)and retirees(8.54%)were the top five occupations.Among all the 9711 cases,the highest proportion went to referral patients(32.46%),followed by symptomatic consultation(27.070%)and symptomatic recommendation(23.58%).The proportion of patients with cough period≥2 weeks was higher than those less than 2 weeks(P<0.05).The rate of pulmonary tuberculosis in patients with abnormal chest X-ray examination was much higher than that in patients with normal chest X-ray(P<0.05).Conclusion Among the occupations of patients,they were mainly farmers,housework and unemployment.Referrals,sy mptomatic consultation and symptomatic recommendation are the main sources of outpatients.The occurrence of cough≥2 weeks and abnornral results of chest X-ray examination are important reference indicators for the detection of Tuberculosis.