我国华南部队结核病流行因素的调查分析  

Study on Risk Factors of Pulmonary Tuberculosis in Southern Army of China

作　　者：王志斌[1] 曾年华[1] 李兴国[1] 祝绍俊[2] 毛长庚 党锐 

机构地区：[1]广州军区联勤部军事医学研究所,广州510507 [2]广州军区总医院 [3]广州军区第163医院 [4]广州军区第169医院

出　　处：《中国公共卫生》2002年第1期85-86,共2页Chinese Journal of Public Health

基　　金：全军青年基金资助课题 (编号 :98Q0 2 0 )

摘　　要：目的　探讨影响我国华南部队结核病的流行因素 ,为部队结核病的综合防制提供依据。方法　选择 138例部队肺结核现患病例及 2 76例对照进行病例对照研究。结果　单因素Logistic回归分析显示 ,体质指数、家庭经济状况、家庭有无结核病人、入伍所在地、结核病接触史、卡介苗接种情况、每年探亲情况、病前 1月劳动训练强度、人际交往与结核病发生的OR值有显著性。多因素分析显示 ,家庭有无结核病人 (r =1 79) ,明显的结核病接触史 (r =2 96 )、卡介苗接种史 (r=0 6 0 )、每年探亲情况 (r=2 83)、病前 1月劳动训练强度 (r =1 6 8)、人际交往 (r =2 2 4 )、体质指数(r=1 6 0 )与肺结核发生的OR值有显著性。结论　提示家庭有结核病人、明显的结核病接触史、每年探亲次数多、病前 1月劳动训练强度大、喜欢人际交往、体质指数差对南方部队结核病发生有影响作用 ,而接受卡介苗预防接种 ,尤其是入伍时接种卡介苗 ,可防止或减少结核病发生。Objective To explore the risk factors of pulmonary tuberculosis (PTB) in the southern army of China and to lay foundation for their prevention and control.Methods A case-control study on the risk factors of PTB was carried out in the southern army of China,138 case and 276 controls were selected.Results Single factor conditional logistic regression analysis showed that the occurrence of PTB was closely associated with body indices,family income,family history of PTB,area of enrollment,history of exposure to PTB,go home to visit one's family,contact with people,intension of work before sicken one month ,and history of Bacille Calmette Guerin (BCG) vaccination was protective factor.Further multivariable logistic regression analysis turned out that body indices,famlly history of PTB( r =1 79),history of exposure to PTB( r =2 96),go home to visit one's family( r =2 83),contact with people( r =2 24),intension of work( r =1 68) before sicken one month were the independent risk factors of PTB,history of Bacille Calmette Guerin (BCG) vaccination was inversely associated with PTB in army.Conclusion The main risk factors of PTB were contact with people,area of enrollment,history of exposure to PTB obviously in the southern army of China.History of BCG vaccination was a protective factor of PTB.

关 键 词：部队 结核病 危险因素 病例对照研究 调查分析 中国 

分 类 号：R52[医药卫生—内科学]