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目的探讨农村青壮年肺结核发病的危险因素,为制定干预对策与措施提供依据。方法 2011年7月—2012年12月,选取滕州市新发肺结核患者121例,按照1∶1配对方法选择同一社区内与病例同性别、年龄±3岁,无严重呼吸系统疾患病史的人群为对照。进行影响肺结核患病的条件logistic回归分析。结果在α=0.05的水平上,进入多因素条件logistic回归模型的有8个因素,即接种卡介苗可降低肺结核发病危险性,OR值为0.54;经济状况差、饮酒、结核病接触史、劳动疲乏、住房类别、体重指数、外出打工易患肺结核的OR值分别为3.68、1.67、1.99、2.87、1.87、2.56和2.97。结论经济状况差、饮酒、结核病接触史、劳动易疲乏、住房通风不好、体质偏瘦、外出打工是该市农村青壮年肺结核发生的主要危险因素,卡介苗接种是降低发病的保护性因素。
Objective To explore the risk factors of pulmonary tuberculosis among rural young adults and to provide basis for formulating intervention measures and measures. Methods From July 2011 to December 2012, 121 patients with newly diagnosed pulmonary tuberculosis in Tengzhou were enrolled. According to the 1: 1 matching method, the population with the same sex, age ± 3 years and no serious respiratory disease in the same community Control. Conditional logistic regression analysis was performed on the prevalence of tuberculosis. Results At the level of α = 0.05, there were 8 factors in the multivariate conditional logistic regression model, that is, BCG vaccination could reduce the incidence of pulmonary tuberculosis with an OR of 0.54; poor economic status, alcohol consumption, history of exposure to tuberculosis, labor fatigue, The OR of housing category, body mass index and migrant workers with tuberculosis were 3.68, 1.67, 1.99, 2.87, 1.87, 2.56 and 2.97, respectively. Conclusions Poor economy, drinking, history of exposure to tuberculosis, labor fatigue, poor housing ventilation, physical weakness and migrant workers are the major risk factors for pulmonary tuberculosis among rural young adults in this city. Bacille Calmette-Guerin vaccination is a protective factor in reducing the incidence.