2018-2020年北京市朝阳区肺结核患者未收治情况及相关因素分析  

Analysis of untreated pulmonary tuberculosis patients and related factors in Chaoyang district of Beijing,2018-2020

作　　者：梁瑞英[1] 梁桂烨 张爱洁[1] 徐伟[1] LIANG Rui-ying;LIANG Gui-ye;ZHANG Ai-jie;XU Wei(Chaoyang District Center for Disease Prevention and Control,Beijing 100021,China)

机构地区：[1]北京市朝阳区疾病预防控制中心,100021 [2]厦门大学公共卫生学院

出　　处：《首都公共卫生》2022年第3期142-146,共5页Capital Journal of Public Health

摘　　要：目的了解北京市朝阳区肺结核患者未收治情况,分析相关影响因素,为更好地管理结核病患者、防控结核病提供依据。方法整理结核病信息管理系统中2018年1月1日-2020年12月31日现住址为朝阳区的肺结核患者3993例的相关数据,对未收治情况进行描述性分析,运用χ^(2)检验进行单因素分析,Logistic回归进行多因素分析。结果朝阳区肺结核患者未收治率为33.16%(1324/3993,95%CI:31.65%~34.51%)。单因素分析显示,不同性别、年龄、户籍、职业、疾病类型及是否就诊延迟患者的未收治率差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,男性未收治风险高于女性(OR=1.184,95%CI:1.024~1.370);60岁及以上年龄组未收治风险较高(OR=2.791,95%CI:2.071~3.761);家务待业(OR=2.316,95%CI:1.934~2.774)及离退休(OR=1.990,95%CI:1.492~2.652)人员未收治风险高于在职职工;未痰检(OR=3.422,95%CI:2.862~4.090)、菌阴(OR=1.582,95%CI:1.330~1.881)患者高于菌阳患者。结论加强结核病相关知识的宣传,强化患者就诊时及首次追访时的宣教,提高轻症患者及男性患者对规律治疗重要性的认识及依从性;关注家务待业者和老年患者,给予关怀和支持。Objective To understand the situation of tuberculosis(TB)patients without registration and treatment in Chaoyang district of Beijing,and to explore related factors,so as to provide information for better management of tuberculosis patients and prevention and control of tuberculosis.Methods The relevant data of 3993 TB patients who currently lived in Chaoyang district from 2018 to 2020 were collected from the TB information management system to analyze the situation of unregistered treatment.Univariate analysis was performed by chi-square test and multivariate analysis by Logistic regression.Results The unregistered treatment rate of tuberculosis patients in Chaoyang district was 33.16%(1324/3993,95%CI:31.65%-34.51%).Univariate analysis showed that gender,age,household registration,occupation,disease type and delayed treatment did statistically affect the unregistered treatment rate(P<0.05).Multivariate Logistic regression analysis showed that the risk of unregistered treatment in men was higher than that in women(OR=1.184,95%CI:1.024-1.370),the age group of 60 and above had a higher risk of not being treated(OR=2.791,95%CI:2.071-3.761),the risk of unemployed(OR=2.316,95%CI:1.934-2.774)and retired(OR=1.990,95%CI:1.492-2.652)employees was higher than that of in-service employees,the patients without sputum examination(OR=3.422,95%CI:2.862-4.090)and bacterial negative(OR=1.582,95%CI:1.330-1.881)were higher than those with bacterial positive.Conclusions Trengthening the publicity of TB-related knowledge especially during treatment and the first follow-up visit.Improving the awareness and compliance of mild patients and male patients on the importance of regular treatment.Paying attention to the unemployed and elderly patients and give care and support.

关 键 词：肺结核 未收治率 登记治疗 相关因素 

分 类 号：R521[医药卫生—内科学]