中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (9): 674-676.doi: 10.12144/zgmfskin202509674

• 临床研究 • 上一篇    下一篇

1991-2024年烟台市低流行状态下麻风病例延迟诊断情况分析

王相洁*,韩冬柏*,常炯炯,杨丽华,陈平,颜世翠   

  1. 烟台市疾病预防控制中心，山东烟台，264003 *共同第一作者
  • 出版日期:2025-09-15 发布日期:2025-09-08

Analysis of delayed diagnosis in leprosy cases under low-prevalence status in Yantai City, 1991-2024

WANG Xiangjie*, HAN Dongbai*, CHANG Jiongjiong, YANG Lihua, CHEN Ping, YAN Shicui   

  1. Yantai Municipal Center for Disease Control and Prevention, Yantai 264003, China *Co-first authors
  • Online:2025-09-15 Published:2025-09-08

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摘要： 目的：了解烟台市近年来麻风病例延迟诊断情况。方法：筛选全国麻风病防治管理信息系统（LEPMIS）中1991-2024年烟台市麻风患者。采用SPSS18.0软件进行数据录入和分析。结果：剔除复发、转出人员，共筛选出52例麻风病例,延迟诊断期1～564个月，中位数24个月。延迟诊断期小于1年9例(17.3%)，1～2.9年26例（50%），3~4.9年7例（13.5%），5 年及以上10例（19.2%）。延迟诊断期与畸残进行偏相关分析，差异有统计学意义（P=0.043,R=0.285）。结论：1991-2024年烟台市麻风患者延迟诊断期主要集中在1～2.9年，5年及以上患者占比较高，延迟诊断期与畸残严重程度呈正相关。

关键词: 麻风, 新发病例, 延迟诊断, 畸残

Abstract: Objective: To investigate the status of delayed diagnosis of leprosy cases in Yantai City in recent years. Methods: Leprosy patients in Yantai City from 1991 to 2024 were screened from the National Leprosy Prevention and Control Management Information System (LEPMIS). The data were analyzed through SPSS 18.0. Results: After excluding relapsed cases and transferred-out patients, a total of 52 leprosy cases were screened out. The delayed diagnosis period ranged from 1 to 564 months, with a median of 24 months. There were 9 cases (17.3%) with a delayed diagnosis period of less than 1 year, 26 cases (50%) with 1-2.9 years, 7 cases (13.5%) with 3-4.9 years, and 10 cases (19.2%) with 5 years or more. At the time of diagnosis, Partial correlation analysis between the delayed diagnosis period and disability showed a statistically significant difference (P=0.043, R=0.285). Conclusion: From 1991 to 2024, the delayed diagnosis period of leprosy patients in Yantai City is mainly in 1-2.9 years, and the proportion of patients with a delayed diagnosis period of 5 years or more is relatively high. There is a positive correlation between the delayed diagnosis period and disability.

Key words: leprosy, newly detected cases, diagnostic delay, deformity