贵阳地区肺结核影响因素的病例分析  

Analysis on Pulmonary Tuberculosis Cases for Epidemic Factors in Guiyang Area

作　　者：文学[1,2] 张先明 唐静[1] 杨文婷[1] 桂坤[1] 杜娟[1] WEN Xue ZHANG Xianming TANG Jing YANG Wenting GUI Kun DU Juan(Department of Respiration, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, Chin)

机构地区：[1]贵州医科大学附院呼吸内科,贵州贵阳550004 [2]贵州医科大学

出　　处：《贵州医科大学学报》2017年第3期337-340,共4页Journal of Guizhou Medical University

摘　　要：目的:探讨贵阳地区肺结核发病的影响因素。方法:选取贵阳地区初治肺结核患者196例作为结核组,同期健康体检者196例作为对照组,采用自制调查表进行问卷调查,调查包括社会经济、个人及居住环境3大因素,共18个方面,分析贵阳地区初治肺结核发病的影响因素。结果:单、多因素分析显示,受教育程度低、吸烟、合并糖尿病、暴露粉尘或化学烟雾、低体重、卧室阴暗是肺结核发病的影响因素,卡介苗接种是肺结核发病的保护性因素。结论:提高贵阳地区居民文化教育程度,加强肺结核防治知识的宣传对肺结核防治具有重要意义。Objective：To investigate factors that influence the pulmonary tuberculosis incidence,and to provide reference for the tuberculosis health education in Guiyang region. Methods：One hundred and ninety-six initial pulmonary tuberculosis patients in Guiyang region（ treated during Jan. Through Dec. 2016） were chosen as tuberculosis group,and 196 healthy people in the same period as the control group. A questionnaire survey was conducted,and the content included 18 questions belonging to3 issues：social econom,personal matter,and living environment. Waldχ2value,P value,OR value and 95% CI value were calculated by single factor and multiple factor conditional logistic regression analysis,and the influence factors of initial pulmonary tuberculosis incidence were analyzed. Results：Low level of education,smoking,diabetes,dusty or chemical smog,low body weight,and dark bedroom were risk factors causing pulmonary tuberculosis. Early BCG（ bacillus calmette guerin） vaccine injection was protective factor against the disease. Conclusion：It＇s very important to enhance the citizen＇s education level and strengthen the publicity of tuberculosis prevention knowledge in Guiyang region.

关 键 词：结核 肺 影响因素 宣传 教育 问卷 贵阳 

分 类 号：R521[医药卫生—内科学]