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目的探讨活动性肺结核相关影响因素及预防控制措施。方法选择2012年1月—2015年1月临床纳入怀疑为肺结核患者178例作为研究对象,其中39例患者确诊为活动性肺结核,对所有入组者的临床资料进行回顾性分析。计数资料采用χ~2检验,多因素分析采用Logistic回归分析,P<0.05为差异有统计学意义。结果男性(OR=1.57,95%CI为0.62~3.51)、年龄≥60岁(OR=1.70,95%CI为0.73~3.83)、文化程度初中及以下(OR=5.63,95%CI为1.34~10.43)、结核接触史(OR=2.97,95%CI为1.13~4.58)、吸烟史(OR=2.08,95%CI为1.02~4.09)是导致活动性肺结核发生的独立危险因素。结论男性、年龄≥60岁、文化程度初中及以下、结核接触史、吸烟史均是导致活动性肺结核发生的危险因素,通过健康宣教,改善不良嗜好,对降低活动性肺结核的发生具有较高的临床价值。
Objective To explore the influencing factors of active pulmonary tuberculosis and its prevention and control measures. Methods From January 2012 to January 2015, 178 patients suspected of pulmonary tuberculosis were enrolled in the study. Among them, 39 patients were diagnosed as active pulmonary tuberculosis. The clinical data of all patients were retrospectively analyzed. Count data using χ ~ 2 test, multivariate analysis using Logistic regression analysis, P <0.05 for the difference was statistically significant. Results Male (OR = 1.57, 95% CI 0.62-3.51), age 60 years (OR = 1.70, 95% CI 0.73-3.83), junior high school education and below (OR = 5.63, 95% CI 1.34 ~ (OR = 2.97, 95% CI: 1.13-4.58). Smoking history (OR = 2.08, 95% CI: 1.02-4.09) was an independent risk factor for active pulmonary tuberculosis. Conclusion Male, age 60 years or older, junior high school education and below, history of exposure to TB and smoking history are the risk factors of active pulmonary tuberculosis. Through health education and education to improve bad habits, it has a higher effect on reducing the incidence of active tuberculosis Clinical Value.