上海市松江区肺结核患者死因归类及影响因素分析  

Death cause classification and influencing factors tuberculosis patients in Songjiang district

作　　者：路丽苹[1] 洪建军[1] 金晓萍[1] 沈红英[1] 

机构地区：[1]上海市松江区疾病预防控制中心,上海松江201620

出　　处：《上海预防医学》2013年第2期57-60,共4页Shanghai Journal of Preventive Medicine

摘　　要：[目的]掌握肺结核病人的近期和远期转归情况,寻找影响病死率的主要因素,为降低城市结核病病死率提供科学依据。[方法]采用历史性队列研究,通过病史回顾、死因信息查询及问卷调查,了解结核病例的治疗结局、人口及社会经济学特征、影响因素等信息,采用Cox回归分析死亡危险因素。[结果]经2～6年的随访,松江区结核病患者的总病死率为16.0%,平均死亡年龄为70.9岁,直接肺结核病死率为3.5%,占总死亡的21.9%,年龄、痰涂片阳性、咯血是患者发生较早死亡的危险因素。[结论]结核病控制机构要加强与临床部门合作,关注结核患者年龄、咯血、痰涂片阳性等因素对死亡的影响,特别要关注结核病诊断后1年内患者的死亡危险性,提高生存率。[ Objective ] To investigate the recent and long - term development of tuberculosis in patient and the influencing factors of fatality rate. [ Methods] Historical cohort, history review, cause of death information query and questionnaire survey were used to investigate TB treatment outcome, population and characteristics of social economy, influence factors and so on, and calculated for independent death risk factors using the Cox logistic regression multivariate model. [ Results ] With two to six years of follow-up, the total mortality of patients with tuberculosis was 16.0%, and the average age of death was 70.9 years,mortality directly from tuberculosis was 3.5%, which was 21.9% of the total deaths. Age, spu- tum smear- positiveness, haemoptysis were risk factors for early death. [ Conclusion] TB control work should be cooperated with clinical department. Factors with TB such as age, haemoptysis, sputum smearpositiveness especially the risk of death must be concerned for patients within a year after tuberculosis diagnosis so as to improve survival rate.

关 键 词：肺结核 死因 病死率 影响因素 

分 类 号：R521[医药卫生—内科学]