深圳市宝安区流动人口肺结核患者成功治疗情况及影响因素分析  

Analysis on status and influencing factors of successful treatment in pulmonary tuberculosis patients among migrant population in Bao'an district of Shenzhen

作　　者：王云霞[1] 赵梅桂[1] 郑娟娟[1] 赵安贵[1] 郭玲[1] 

机构地区：[1]广东省深圳市宝安区慢性病防治院结核病防治科,518101

出　　处：《职业与健康》2015年第11期1500-1503,共4页Occupation and Health

基　　金："十二五"国家科技重大专项(项目编号:2012ZX10004-903);深圳市宝安区科技计划项目(项目编号:2014121)

摘　　要：目的探讨流动人口肺结核患者成功治疗的影响因素，为制定干预措施、改善治疗效果提供理论依据。方法以2009-2013年在深圳市宝安区接受治疗的流动人口肺结核患者为研究对象，比较成功与未成功治疗患者在人口学特征、诊断结果、管理方式等方面的差异，同时采用非条件logistic回归分析探讨成功治疗的影响因素。结果2009-2013年深圳市宝安区流动人口结核病患者的成功治疗率为86．06％。成功治疗与未成功治疗患者在年龄、职业、来源、就诊时间、诊断结果、治疗分类、是否系统管理和有无空洞的构成方面存在显著差异；多因素非条件logistic回归分析显示，年龄为20-40岁。职业为家政、家务及待业，无空洞是成功治疗的保护因素，OR（95％CI）分别为1．463（1．225-1．748）、1．229（1．037-1．455）和1．459（1．216-1．752）；而转诊、诊断结果阳性和复治患者是成功治疗的危险因素，OR（95％ CI）分别为0．808（0．677-0．963）、0．567（0．461-0．698）和0．495（0．389－0．630）。结论各种因素导致的流动人口结核病患者未成功治疗是结核病防治工作中的重要问题，应当引起关注，采取针对性干预措施有利于提高流动人口结核病患者成功治疗率。[ Objective ] To explore the influencing factors of successful treatment in pulmonary tuberculosis （PTB） patients among migrant population, provide a theoretical basis for formulating intervening measures and improving treatment effect. [Methods] The PTB patients among migrant population that accepted the treatment in Bao＇an District of Shenzhen from 2008-2012 were enrolled in this study. The differences of demographic characteristic, diagnosis and management style were compared between the successful treatment patients and unsuccessful treatment patients, and non-conditional logistic regression analysis was used to explore the influencing factors of successful treatment. [Results] The successful treatment rate was 86.06% in PTB patients among migrant population in Bao＇an district of Shenzhen from 2008-2012. There were significant differences between the successful treatment patients and unsuccessful treatment patients in age, occupation, source, visiting time, diagnosis, treatment classification, carrying the system management and the presence of empty cavity. The multi-factor unconditional logistic regression analysis showed that 20-40 years old, occupation of housekeeping, housework or unemployed, and no cavity were protective factors of successful treatment, and the OR （95% CI） values werel.463（1.225-1.748）, 1.229（1.037-1.455） and 1.459（1.216-1.752） respectively. Referral, smear positive and retreatment patients were risk factors of successful treatment, and the OR （95% CI） values were 0.808 （0.677-0.963）, 0.567（0.461-0.698） and 0.495（0.389-0.630） respectively. [Conclusion] Unsuccessful treatment of PTB patients among migrant population induced by various factors is an important issue in TB prevention and control work which should be paid attention. Targeted intervention measures may be helpful for successful treatment.

关 键 词：肺结核 流动人口 影响因素 成功治疗 

分 类 号：R181.3[医药卫生—流行病学]