CAJ | 학술논문

目的分析广西新发涂阳肺结核患者确诊延迟情况及影响因素，为结核病防治工作提供参考。方法从广西现行的4种结核病防治模式单位抽取180例2011年登记报告的新发涂阳肺结核患者的病案信息进行统计分析。结果广西新发涂阳肺结核患者确诊延迟率为44.4％，确诊时间中位数为19 d。 Logistic回归分析显示，男性（ OR＝3.502，P＝0.006）及确诊于CDC模式单位（ OR＝2.797，P＝0.032）的患者发生确诊延迟的风险较大。结论通过加强结核病健康教育，积极出台各项惠民措施，因地制宜地逐步推行结核病诊疗模式转型，有利于减少肺结核患者确诊延迟的发生。
목적분석엄서신발도양폐결핵환자학진연지정황급영향인소，위결핵병방치공작제공삼고。방법종엄서현행적4충결핵병방치모식단위추취180례2011년등기보고적신발도양폐결핵환자적병안신식진행통계분석。결과엄서신발도양폐결핵환자학진연지솔위44.4％，학진시간중위수위19 d。 Logistic회귀분석현시，남성（ OR＝3.502，P＝0.006）급학진우CDC모식단위（ OR＝2.797，P＝0.032）적환자발생학진연지적풍험교대。결론통과가강결핵병건강교육，적겁출태각항혜민조시，인지제의지축보추행결핵병진료모식전형，유리우감소폐결핵환자학진연지적발생。
Objective To study the condition and influencing factors associated with diagnosis delay for pa -tients with new smear-positive pulmonary tuberculosis , in order to provide a reference for tuberculosis control work in Guangxi.Methods One huandred and eighty patients with new smear-positive pulmonary tuberculosis reported in 2011 were selected from 4 units of different tuberculosis control mode , and the data of medical record information were collected for statistical analysis .Results The diagnosis delayed rate was 44.4%in patients with new smear-positive pulmonary tuberculosis , the median time of diagnosis was 19 days.Logistic regression analysis showed that patients with the gender of men ( OR=3.502 , P=0.006 ) and came from the unit of CDC control mode ( OR=2.797 , P=0.032 ) had higher risk of diagnosis delay .Conclusion It was useful to strengthen the tuberculosis health education , develop measures of benefit to the people ,and gradually implement transformation of the tuberculosis control mode ,for reducing the happening of diagnosis delay in Guangxi .