青海省学生肺结核患者治疗转归及影响因素

马斌忠; 李尔琛; 蒋明霞; 王朝才; 魏於家

doi:10.16462/j.cnki.zhjbkz.2022.11.019

青海省学生肺结核患者治疗转归及影响因素

doi: 10.16462/j.cnki.zhjbkz.2022.11.019

810007 西宁, 青海省疾病预防控制中心传染病预防控制所

基金项目:

青海省高端创新人才千人计划 2017-2

详细信息

通讯作者:
魏於家, E-mail: cdcwyj@yeah.net

中图分类号: R181.3
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- 文章访问数: 207
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- PDF下载量: 29
- 被引次数: 0
出版历程
- 收稿日期: 2022-03-09
- 修回日期: 2022-04-09
- 网络出版日期: 2022-12-21
- 刊出日期: 2022-11-10

Analysis on the factors that influence the treatment outcome of students with pulmonary tuberculosis in Qinghai Province

Institute for Prevention and Control of Infectious Disease, Qinghai Provincial Center for Disease Control and Prevention, Xining 810007, China

Funds:

Qinghai Provincial Thousand Talents Program for High-level Innovative Talents 2017-2

More Information

Corresponding author: WEI Yu-jia, E-mail: cdcwyj@yeah.net

摘要

摘要: 目的分析青海省学生肺结核患者治疗转归的现况及其影响因素，为完善学校肺结核防控策略提供依据。方法收集青海省2015—2019年学生肺结核流行病学信息并分析描述其治疗转归现况，通过构建二元logistic回归分析模型分析影响学生肺结核患者治疗转归的相关因素。结果学生肺结核患者治疗成功率为89.08%，呈逐年上升趋势(χ² =120.630, P < 0.001)。不同市(州)学生肺结核患者治疗成功率差异有统计学意义(χ² =67.866, P < 0.001)。多因素分析结果显示少数民族、发生就诊延迟、复治和非全程督导管理是影响治疗转归的危险因素。结论学生肺结核患者治疗成功率较高，但受多种因素影响，应加强关注、采取有效措施进一步提升。
- 学生 /
- 肺结核 /
- 治疗转归 /
- 影响因素
Abstract: Objective This paper analyzes the current situation and influencing factors of the treatment outcome of students with pulmonary tuberculosis in Qinghai Province, and provides a basis for improving the tuberculosis prevention and control strategy in schools. Methods Through collect the epidemiological information of students with PTB in Qinghai Province from 2015 to 2019, this paper analyzed and described the current status of treatment outcome, and analyzed the relevant factors affecting the outcome by constructing a binary logistic regression model. Results The success rate of treatment of students with PTB was 89.08%, and was rising year by year (χ² =120.630, P < 0.001). The difference in the success rate of students patients who lives in different regions was statistically significant (χ² =67.866, P < 0.001). The multivariate analysis showed that ethnic minorities, delayed visits, re-treatment and non-full-course supervision management were risk factors affecting the outcome of treatment. Conclusions The success rate of the treatment of students with PTB is relatively high, but due to a variety of factors, it should be paid more attention to and effective measures should be taken for further improvements.
- Students /
- Pulmonary tuberculosis /
- Treatment outcome /
- Influencing factors

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图 1 2015—2019年青海省学生肺结核患者治疗成功率变化趋势

Figure 1. The trend of treatment success rate of students with PTB in Qinghai Province from 2015 to 2019

下载: 全尺寸图片幻灯片

表 1 2015—2019年青海省学生肺结核患者治疗转归现况及影响因素

Table 1. Status and influencing factors of treatment outcome of students with PTB in Qinghai Province from 2015 to 2019

变量	总病例数(例)	治疗成功(例)	治疗成功率(%)	χ²检验		多因素logistic回归
变量	总病例数(例)	治疗成功(例)	治疗成功率(%)	χ²值	P值	OR(95%CI)值	P值
性别				0.421	0.517
男	1 918	1 715	89.42
女	2 130	1 891	88.78
民族				9.488	0.002
汉族	303	286	94.39			1.000
少数民族	3 745	3 320	88.65			3.372(1.964~5.789)	< 0.001
流动人口				6.449	0.011
是	877	802	91.45			1.000
否	3 171	2 804	88.43			1.308(0.952~1.797)	0.098
患者来源				43.329	< 0.001
因症推荐	71	55	77.46			1.000
因症就诊	2 799	2 547	91.00			0.280(0.138~0.565)	< 0.001
转诊	213	188	88.26			0.307(0.134~0.700)	0.005
追踪	735	615	83.67			0.481(0.231~1.003)	0.051
健康检查及其他接触者检查	230	201	87.39			0.394(0.174-0.894)	0.026
就诊延迟				50.898	< 0.001
否	2 131	1 969	92.40			1.000
是	1 917	1 637	85.39			1.286(1.022~1.618)	0.032
是否重症				3.658	0.056
否	4 002	3 561	88.98
是	46	45	97.83
治疗分类				6.479	0.011
初治	3 973	3 546	89.25			1.000
复治	75	60	80.00			2.895(1.434~5.842)	0.003
管理方式				723.296	< 0.001
全程督导管理	2 755	2 703	98.11			1.000
非全程督导管理	1 293	903	69.84			21.518(15.854~29.205)	< 0.001
合计	4 048	3 606	89.08

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