Analysis on the factors that influence the treatment outcome of students with pulmonary tuberculosis in Qinghai Province
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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。 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. -
Key words:
- Students /
- Pulmonary tuberculosis /
- Treatment outcome /
- Influencing factors
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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 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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