检验报告专业管理模式对性病报告和诊治效果探讨.docVIP

检验报告专业管理模式对性病报告和诊治效果探讨 　　[摘要]目的 探讨性病检验报告专业管理模式的有效性。方法 选择2012年1月～2014年12月门诊的779例性病标记为新模式组，2010年1月～2011年12月门诊的720例性病标记为旧模式组，比较两组病例的疫情报告和梅毒筛查诊治等管理指标的变化。结果 新模式组的梅毒、淋病和生殖器沙眼衣原体感染报告及时率和完整率、梅毒分型诊断准确率和梅毒治疗完成率、淋病/生殖道沙眼衣原体感染患者梅毒筛查率和治疗完成率都明显高于旧模式组，差异有统计学意义（P0.05）。结论 性病检验报告专业管理模式可以提高性病报告质量和梅毒筛查诊治效果，值得向各医疗机构推广。 　　[关键词]性病；梅毒；检验报告；管理模式 　　[中图分类号] R759 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0160-03 　　[Abstract]Objective To explore the effectiveness of specialized management mode of inspection report on sexually transmitted diseases （STD）.Methods From January 2012 to December 2014，779 outpatients with STD were labeled as the new model group.From January 2010 to December 2011，720 STD patients were identified as the old model group.The change of management indicators like epidemic report and syphilis screening and treatment in the two groups were compared and analyzed.Results In the new model group，the timely and integrated rate of reporting syphilis，gonorrhea and genital chlamydia trachomatis infection，the diagnostic accuracy rate of syphilis typing and its accomplishing rate，and syphilis screening rate from patients suffering from gonorrhea/ chlamydia trachomatis infection in genital tract and completion rate of treatment were all much higher than those in the old model group with statistical differences （P0.05）.Conclusion Specialized management mode of inspection report on STD can improve the quality of STD reports and syphilis screening as well as its effect of diagnosis and treatment，which is worthy of promotion to the medical institutions. 　　[Key words]Sexually transmitted disease；Syphilis；Inspection report；Management model 　　性?鞑ゼ膊。ㄒ韵录虺啤靶圆　保┲饕?是通过性接触而发生传播的一组传染性疾病。自改革开放以后性病在我国死灰复燃，梅毒、淋病、生殖道沙眼衣原体感染、生殖器疱疹和尖锐湿疣的报告数逐年增多，并呈上升趋势[1-2]。近几年来，随着国家防控措施力度加大， 淋病等性病发病率呈稳中有降的趋势，但梅毒却仍然呈现持续上升趋势，发病数现在已经稳居全国甲乙类法定传染病的第三位，而梅毒又是危害性最高的性病[3-5]。为加强性病监测工作，控制性病疫情的进一步蔓延，根据《全国性病监测方案》的要求，各级医疗机构必须将上述五种性病纳入网络报告范围，在中国疾病预防控制信息系统进行网络直报。我院2010年已全面运行传染病（含性病）内网直报系统，强制临床医生在内网就诊系统诊断传染病（含性病）后立即报告，但梅毒、淋病和生殖器沙眼衣原体感染，