2013—2022年北京市朝阳区肺结核患者治疗转归及影响因素分析  

Treatment outcomes and influencing factors of patients with pulmonary tuberculosis in Chaoyang District of Beijing 2013 to 2022

作　　者：吴冬雪 徐伟[1] 梁瑞英[1] 杨智斌[1] 张爱洁[1] WU Dongxue;XU Wei;LIANG Ruiying;YANG Zhibin;ZHANG Aijie(Beijing Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China)

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021

出　　处：《预防医学情报杂志》2025年第3期312-319,共8页Journal of Preventive Medicine Information

摘　　要：目的分析2013—2022年北京市朝阳区肺结核患者治疗转归及其影响因素,为朝阳区进一步制定结核病防治策略和措施提供参考。方法通过“全民健康信息化疾病预防控制信息系统”收集2013—2022年北京市朝阳区肺结核患者相关资料,包括性别、年龄、民族、人群分类和户籍等信息,采用χ^(2)检验和多因素Logistic回归模型分析肺结核患者治疗转归及其影响因素。以P<0.05为差异有统计学意义。结果2013—2022年朝阳区累计登记管理肺结核患者8158例,年均登记率为21.97/10万,年均登记管理率为57.45%,登记管理率呈上升趋势(χ^(2)_(趋势)=2252.866,P<0.001);登记的8158例患者中,成功治疗7615例,年均成功治疗率为93.34%;多因素分析结果显示,45~<60岁年龄组(OR=1.652,95%CI:1.063~2.565)、60岁及以上年龄组(OR=2.661,95%CI:1.743~4.063)、少数民族(OR=2.330,95%CI:1.356~4.004)、家务及待业/离退人员(OR=2.360,95%CI:1.432~3.889)、学生/教师(OR=2.248,95%CI:1.062~4.758)、农民/工人(OR=1.773,95%CI:1.015~3.097)、复治患者(OR=1.961,95%CI:1.265~3.042)是影响患者成功者治疗的独立危险因素。结论中老年人群、复治患者、少数民族、农民及工人、学生和教职工是朝阳区肺结核患者治疗过程中易发生不良结局的重点人群,应有针对性地加强健康宣教,提高患者治疗管理依从性,提升成功治疗率。Objective To analyze the treatment outcomes and influencing factors of patients of tuberculosis in Chaoyang District of Beijing from 2013 to 2022,and to provide reference for further formulate strategies and measures for prevention and control of TB in Chaoyang District.Methods Data of tuberculosis patients in Chaoyang District of Beijing from 2013 to 2022 were collected through the“National Health Information Disease Prevention and Control Information System”,including gender,age,ethnicity,population classification,household registration and other informations.Chi-square test and multiple logistic regression model were used to analyze the treatment outcomes of patients with pulmonary tuberculosis and its influencing factors.The difference P<0.05 was considered statistically significant.Results A total of 8158 cases of tuberculosis were registered and managed in Chaoyang District from 2013 to 2022.The annual registration rate was 21.97 per million.The average annual registration management rate was 57.45%,and the registration management rate showed a significant upward trend(χ^(2)_(trend)=2252.866,P<0.001).Of the 8158 patients registered,7615 were successfully treated.The average annual successful treatment rate was 93.34%.The results of multifactor analysis showed that the 45-59 age group(OR=1.652,95%CI:1.063-2.565),60 and older age group(OR=2.661,95%CI:1.743-4.063),ethnic minorities(OR=2.330,95%CI:1.356-4.004),domestic and unemployed/retired persons(OR=2.360,95%CI:1.432-3.889),students/teachers(OR=2.248,95%CI:1.062-4.758),farmers/workers(OR=1.773,95%CI:1.015-3.097),and retreated patients(OR=1.961,95%CI:1.265-3.042)were independent risk factors for successful treatment of patients.Conclusions Middle-aged and elderly people,rehabilitating patients,ethnic minorities,farmers and workers,students and teaching staff are the key groups prone to adverse outcomes during the treatment of tuberculosis patients in Chaoyang District.Health education should be strengthened to improve patients'compliance and successful t

关 键 词：肺结核 治疗转归 影响因素 

分 类 号：R521[医药卫生—内科学] R183.3[医药卫生—临床医学]