脊柱结核患者就医延迟影响因素及管理策略研究进展

doi:10.19982/j.issn.1000-6621.20260124

摘要/Abstract

摘要：

脊柱结核作为骨关节结核的主要类型,因起病隐匿、诊断困难、致残风险高而成为临床和公共卫生领域关注的重要问题。近年来,脊柱结核患者的就医延迟现象日益突出,平均总延迟时间多在4~11个月。笔者归纳分析了脊柱结核患者就医延迟的现状、影响因素及管理策略,旨在为降低致残率、改善患者预后及制定科学的干预措施提供参考。建议未来加强公众健康教育、完善医疗保障体系、提升基层医生的诊断意识、优化检测技术,并建立个体化综合治疗方案。

关键词: 结核, 脊柱, 就医延迟, 危险因素, 卫生服务管理

Abstract:

Spinal tuberculosis (STB), a major form of osteoarticular tuberculosis, has become a significant concern in both clinical and public health domains due to its insidious onset, diagnostic challenges, and high risk of disability. In recent years, delayed medical consultation among STB patients has become increasingly prominent, with an average total delay of 4 to 11 months. This paper summarizes and analyzes the current status, influencing factors, and management strategies related to consultation delay in STB, aiming to inform evidence-based interventions for reducing disability, improving patient outcomes, and formulating scientific countermeasures. Future efforts should focus on strengthening public health education, improving the health insurance system, raising diagnostic alertness among primary care physicians, optimizing diagnostic technologies, and establishing comprehensive, individualized treatment plans.

Key words: Tuberculosis, spinal, Medical delay, Risk factors, Health services administration

中图分类号:

杨粤琦, 傅麟淋, 何兰芳, 曹远琳, 虞斯涵, 张潆方, 夏同霞. 脊柱结核患者就医延迟影响因素及管理策略研究进展[J]. 中国防痨杂志, 2026, 48(8): 1226-1230. doi: 10.19982/j.issn.1000-6621.20260124

Yang Yueqi, Fu Linlin, He Lanfang, Cao Yuanlin, Yu Sihan, Zhang Yingfang, Xia Tongxia. Research progress on influencing factors and management strategies of medical delay in patients with spinal tuberculosis[J]. Chinese Journal of Antituberculosis, 2026, 48(8): 1226-1230. doi: 10.19982/j.issn.1000-6621.20260124

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