Chinese Journal of Antituberculosis ›› 2023, Vol. 45 ›› Issue (3): 271-278.doi: 10.19982/j.issn.1000-6621.20220392
• Original Articles • Previous Articles Next Articles
Gong Dehua, Tan Wenqian, Huang Juan, Wan Yanping, Xu Zuhui, Liu Zhaochun()
Received:
2022-10-09
Online:
2023-03-10
Published:
2023-03-07
Contact:
Liu Zhaochun
E-mail:10818301@qq.com
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CLC Number:
Gong Dehua, Tan Wenqian, Huang Juan, Wan Yanping, Xu Zuhui, Liu Zhaochun. Analysis of the detection delay and influencing factors of student with pulmonary tuberculosis in Hunan from 2011 to 2020[J]. Chinese Journal of Antituberculosis, 2023, 45(3): 271-278. doi: 10.19982/j.issn.1000-6621.20220392
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年份 | 患者 例数 | 就诊时间 [d,M(Q1,Q3)] | 就诊延误 [例(率,%)] | 确诊时间 [d,M(Q1,Q3)] | 确诊延误 [例(率,%)] | 发现时间 [d,M(Q1,Q3)] | 发现延误 [例(率,%)] |
---|---|---|---|---|---|---|---|
2011 | 1575 | 12(2,34) | 734(46.6) | 2(0,16) | 428(27.2) | 28(11,58) | 774(49.1) |
2012 | 1371 | 14(4,36) | 679(49.5) | 2(0,16) | 371(27.1) | 29(11,57) | 689(50.3) |
2013 | 1372 | 13(3,33) | 653(47.6) | 2(0,24) | 446(32.5) | 30(12,57) | 708(51.6) |
2014 | 1267 | 14(3,36) | 633(50.0) | 14(0,19) | 366(28.9) | 32(11,61) | 685(54.1) |
2015 | 1237 | 12(2,32) | 566(45.8) | 2(0,15) | 321(25.9) | 26(10,53) | 570(46.1) |
2016 | 1152 | 15(3,37) | 608(52.8) | 2(0,20) | 333(28.9) | 31(12,60) | 629(54.6) |
2017 | 1565 | 11(2,31) | 697(44.5) | 3(0,21) | 491(31.4) | 29(10,55) | 787(50.3) |
2018 | 2858 | 10(2,31) | 1210(42.3) | 1(0,18) | 823(28.8) | 25(10,47) | 1293(42.2) |
2019 | 2530 | 12(3,32) | 1167(46.1) | 2(0,19) | 732(28.9) | 28(11,53) | 1239(49.0) |
2020 | 2438 | 10(3,29) | 1008(41.3) | 2(0,16) | 654(26.8) | 23(10,46) | 1064(43.6) |
合计 | 17365 | 12(3,33) | 7955(45.8) | 2(0,18) | 4965(28.6) | 27(11,53) | 8438(48.6) |
市州 | 2011—2015年 | 2016—2020年 | χ2值 | P值 | ||||
---|---|---|---|---|---|---|---|---|
学生患 者例数 | 延误 例数 | 延误率 (%) | 学生患 者例数 | 延误 例数 | 延误率 (%) | |||
常德市 | 569 | 261 | 45.9 | 862 | 383 | 44.4 | 0.287 | 0.592 |
郴州市 | 426 | 141 | 33.1 | 777 | 349 | 44.9 | 15.918 | 0.000 |
衡阳市 | 599 | 354 | 59.1 | 1349 | 629 | 46.6 | 25.809 | 0.000 |
怀化市 | 274 | 124 | 45.3 | 565 | 254 | 45.0 | 0.007 | 0.935 |
娄底市 | 414 | 206 | 49.8 | 504 | 215 | 42.7 | 4.614 | 0.032 |
邵阳市 | 470 | 268 | 57.0 | 1013 | 534 | 52.7 | 2.398 | 0.122 |
湘潭市 | 382 | 187 | 49.0 | 341 | 200 | 58.7 | 6.812 | 0.009 |
湘西州 | 586 | 352 | 60.1 | 1089 | 419 | 38.5 | 71.503 | 0.000 |
益阳市 | 351 | 135 | 38.5 | 530 | 168 | 31.7 | 4.281 | 0.039 |
永州市 | 423 | 228 | 53.9 | 897 | 416 | 46.4 | 6.513 | 0.011 |
岳阳市 | 480 | 191 | 39.8 | 506 | 229 | 45.3 | 3.009 | 0.083 |
张家界市 | 248 | 83 | 33.5 | 352 | 141 | 40.1 | 2.700 | 0.100 |
长沙市 | 1346 | 807 | 60.0 | 1260 | 857 | 68.0 | 18.319 | 0.000 |
株洲市 | 254 | 89 | 35.0 | 498 | 218 | 43.8 | 5.314 | 0.021 |
合计 | 6822 | 3426 | 50.2 | 10543 | 5012 | 47.5 | 11.920 | 0.001 |
因素 | 登记患者 例数 | 发现延误时间 中位数(d) | 延误 [例(构成比,%)] | 未延误 [例(构成比,%)] | χ2值 | P值 |
---|---|---|---|---|---|---|
性别 | 0.143 | 0.706 | ||||
男性 | 10391 | 27 | 5037(48.5) | 5354(51.5) | ||
女性 | 6974 | 27 | 3401(48.8) | 3573(51.2) | ||
年龄组(岁)a | 82.984 | 0.000 | ||||
<15 | 2083 | 30 | 1076(51.7) | 1007(48.3) | ||
15~19 | 11177 | 25 | 5153(46.1) | 6024(53.9) | ||
20~24 | 3904 | 31 | 2086(53.4) | 1818(46.6) | ||
25~40 | 190 | 37 | 115(60.5) | 75(39.5) | ||
民族 | 23.580 | 0.000 | ||||
汉族 | 14849 | 28 | 7328(49.4) | 7521(50.6) | ||
其他b | 2516 | 23 | 1110(44.1) | 1406(55.9) | ||
患者来源 | 1361.326 | 0.000 | ||||
健康检查 | 692 | 7 | 107(15.5) | 585(84.5) | ||
接触者检查 | 145 | 5 | 22(15.2) | 123(84.8) | ||
因症就诊 | 3355 | 20 | 1320(39.3) | 2035(60.7) | ||
因症推荐 | 122 | 21 | 48(39.3) | 74(60.7) | ||
转诊 | 6771 | 22 | 2819(41.6) | 3952(58.4) | ||
追踪 | 6162 | 40 | 4063(65.9) | 2099(34.1) | ||
其他c | 118 | 29 | 59(50.0) | 59(50.0) | ||
诊断单位级别 | 11.208 | 0.001 | ||||
省市级 | 661 | 25 | 279(42.2) | 382(57.8) | ||
县级 | 16704 | 27 | 8159(48.8) | 8545(51.2) | ||
诊断结果 | 191.477 | 0.000 | ||||
病原学阴性 | 11552 | 24 | 5184(44.9) | 6368(55.1) | ||
病原学阳性 | 5074 | 33 | 2848(56.1) | 2226(43.9) | ||
单纯结核性胸膜炎 | 711 | 32 | 392(55.1) | 319(44.9) | ||
无病原学结果 | 28 | 30 | 14(50.0) | 14(50.0) | ||
治疗分类 | 1.571 | 0.210 | ||||
初治 | 17255 | 27 | 8378(48.6) | 8877(51.4) | ||
复治 | 110 | 32 | 60(54.5) | 50(45.5) | ||
是否重症 | 26.209 | 0.000 | ||||
是 | 622 | 35 | 365(58.7) | 257(41.3) | ||
否 | 16743 | 27 | 8073(48.2) | 8670(51.8) |
因素 | β值 | s | Wald χ2值 | P值 | OR值 | 95%CI值 |
---|---|---|---|---|---|---|
常数项 | 0.506 | 0.463 | 1.197 | 0.274 | 1.659 | |
年龄组(岁) | 42.622 | 0.000 | ||||
<15 | -0.386 | 0.161 | 5.739 | 0.017 | 0.679 | 0.495~0.932 |
15~19 | -0.552 | 0.156 | 12.521 | 0.000 | 0.576 | 0.424~0.782 |
20~24 | -0.346 | 0.158 | 4.793 | 0.029 | 0.707 | 0.519~0.964 |
25~40 | 参照 | |||||
患者来源 | 1204.477 | 0.000 | ||||
健康体检 | -1.549 | 0.222 | 48.792 | 0.000 | 0.213 | 0.138~0.328 |
接触者检查 | -1.541 | 0.303 | 25.862 | 0.000 | 0.214 | 0.118~0.388 |
因症就诊 | -0.377 | 0.198 | 3.642 | 0.056 | 0.686 | 0.466~1.010 |
因症推荐 | -0.378 | 0.269 | 1.972 | 0.160 | 0.685 | 0.405~1.161 |
转诊 | -0.277 | 0.196 | 2.002 | 0.157 | 0.758 | 0.516~1.113 |
追踪 | 0.723 | 0.195 | 13.679 | 0.000 | 2.061 | 1.405~3.022 |
其他 | 参照 | |||||
诊断结果 | 154.710 | 0.000 | ||||
病原学检查阴性 | -0.242 | 0.393 | 0.379 | 0.538 | 0.785 | 0.364~1.695 |
病原学检查阳性 | 0.198 | 0.393 | 0.253 | 0.615 | 1.219 | 0.564~2.634 |
单纯结核性胸膜炎 | -0.061 | 0.401 | 0.023 | 0.880 | 0.941 | 0.429~2.064 |
无病原学结果 | 参照 | |||||
是否重症 | 0.389 | 0.087 | 19.878 | 0.000 | 1.475 | 1.244~1.750 |
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