上海市松江区菌阳肺结核病患者密切接触者发病情况分析  

Analysis of the Prevalence of Tuberculosis and Influence Factors among the People in Close Contact with active pulmonary TB patients in Songjiang, Shanghai

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201620

出　　处：《中国初级卫生保健》2013年第4期70-72,共3页Chinese Primary Health Care

基　　金："十一五"国家科技重大专项"特大城市结核病综合防治模式研究(编号2009ZX10003-017)"子课题"城市结核病近期传播模式研究"基金资助项目

摘　　要：目的了解上海市松江区传染性肺结核病患者密切接触者的发病情况及影响因素,探讨主动发现潜在病人并及时采取干预措施的方法。方法对松江区2009—2010年新登记的菌阳肺结核病患者及其密切接触者进行随访问卷调查分析,对调查结果应用非条件Logistic回归分析肺结核病患病的影响因素。结果 560名菌阳肺结病核患者共确定1944名密切接触者,其中20例密切接触者发病,占1.03%。发病的密切接触者以青壮年较多;接触地点70.00%为家里;与患者每次接触时间大于2小时的发病危险是接触时间小于2小时者的8.65倍。与患者发病时间间隔一年内发病的为10人。结论每次接触时间大于2小时是密切接触者患病的危险性因素。应加强健康教育工作,提高结核病人家属筛查频率,以便早期发现和治疗结核病患者。OBJECTIVE To explore the related risk fact s of TB among the people in close contact with active pulmonary TB patients. METHODS Investigation was conducted for the people in close contact with active pulmonary TB patients and registered in the institutes for TB control and prevention from 2009 to 2010. The influence factors were analyzed with unconditional Logistic regression. RESULTS 1 944 people in close contact with active pulmonary TB patients were investigated, 20 of them were diagnosed as active stage TB patients, most of which were young crowd, and 70.00% at home. People in close contact with active pulmonary TB patients more than two hours every time were 8.56 times more risk than that less than two hours. CONCLUSION Logistic Regression Analysis showed that in close contact with active pulmonary TB patients more than two hours every time were the protective factors for the people in close contact with TB patient. We should strengthen the health education, improve the screening frequency of tuberculosis family, so that early detection and treatment of patients with tuberculosis.

关 键 词：肺结核病 肺结核病密切接触者 接触者调查 影响因素 

分 类 号：R521[医药卫生—内科学]