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中国初级卫生保健:2020,34(12):53-55
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唐河县肺结核病流行病学特征调查及发病的危险因素分析
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中文摘要: 摘要 目的 研究唐河县肺结核病流行病学特征及发病的危险因素分析。方法 收集2018年5月—2020年5月期间我中心纳入免费项目管理200例肺结核患者(观察组)的资料,另选同期在我中心进行健康检查的健康受试者120例为对照组。统计流行病学特征,采用单因素和logistic多因素分析的方法对影响肺结核发病的危险因素进行分析。结果 流行病学调查结果显示,200例肺结核患者中年龄以60岁以上老年患者为主,占72.50%,性别方面以男性患者为主,占68.50%,患者职业以农民为主,占49.00%,发病季节主要在冬季(39.50%)、春季 (30.00%)。在肺结核发病的单因素分析中,观察组、对照组的体质指数(BMI)、婚姻状况、饮酒史、家庭收入和文化程度等对比无统计学意义(P>0.05),两组在年龄、性别比例、吸烟史、肺部疾病史和职业构成方面对比差异有统计学意义(P<0.05)。进一步多因素分析显示:高龄、农民、男性、有吸烟史和肺部疾病史是肺结核发病的危险因素。结论 唐河县肺结核病好发于高龄、男性、农民及冬春季,高龄、农民、男性、有吸烟史、肺部疾病史是肺结核发病的危险因素,应对这类高危人群制定有效的防控措施。
Abstract:Abstract Objective To research and investigation the epidemiological characteristics and risk factors of pulmonary tuberculosis in Tanghe County . Methods 200 tuberculosis patients (observation group) included in our center from May 2018 to may 2020 were collected. Another 120 healthy subjects who underwent health examination in our center during the same period were selected as the control group. Statistical epidemiological characteristics, using single factor and logistic multivariate analysis method to analyze the risk factors of pulmonary tuberculosis. Results The results of epidemiological survey showed that in 200 cases of pulmonary tuberculosis, the majority of them were over 60 years old, accounting for 72.50% . The male patients were mainly male patients, accounting for 68.50% . The occupation of patients was mainly farmers, accounting for 49.00% . The onset season was 39.50% in winter and 30.00% in spring. In the univariate analysis of the incidence of pulmonary tuberculosis, there was no difference in BMI, marital status, drinking history, family income and education level between the observation group and the control group (P>0.05). There were significant differences in age, sex ratio, smoking history, pulmonary disease history and occupation composition between the two groups (P<0.05). Further multivariate analysis showed that old age, farmer, male, smoking history and pulmonary disease history were the risk factors of pulmonary tuberculosis . Conclusion In Tanghe County, Nanyang City, tuberculosis tends to occur in old age, male, farmer, winter and spring. Old age, farmer, male, smoking history, and pulmonary disease history are risk factors for pulmonary tuberculosis.
文章编号:3202012016     中图分类号:R521    文献标志码:
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王永坡①  
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