青壮年肺结核现状及就诊延误影响因素分析

Analysis on the Present Situation of Pulmonary Tuberculosis in Young Adults and Influencing Factors of Treatment Delay

摘要: 世界卫生组织曾提出了2035年终止结核病的战略。随着我国经济的高速发展，结核病的发病率和死亡率也在逐年下降。但因为我国人口基数庞大，虽患病率有所下降，但患病人数有所增加。肺结核患者越来越年轻化，青壮年肺结核患者所占比例越来越高，此外，无明显临床症状的青壮年肺结核患者就诊延误现象明显，并于就诊时易被误诊或漏诊；青壮年社会活动活跃、流动性强，给传染源的控制工作带来了一定的挑战，一个未经正规抗结核治疗的患者，对周围人群往往有较大传染性。因此，分析青壮年肺结核患者就诊现状以及就诊延迟的影响因素对我国结核病的防控工作具有重大意义。

Abstract: The WHO proposed a 2035 annual tuberculosis strategy. In recent years, the spread of nuclear disease in China has been effectively controlled, and the incidence and mortality are gradually declined. However, due to the large number of people in China, although the prevalence declines, the number of patients with the disease has increased. Tuberculosis patients are getting younger and younger, and more and more young patients with tuberculosis have no obvious clinical symptoms, which are likely to be misdiagnosed or missed diagnosis. Young and middle-aged people are active in social activities and have strong mobility, which brings some challenges to the control of infection sources. A patient without formal anti-tuberculosis treatment is often more infectious to the surrounding population. Therefore, it is of great significance for the prevention and control of tuberculosis in China to analyze the current situation of young and middle-aged tuberculosis patients and the influencing factors of the delay of treatment.