摘要
目的研究结核病患者痰涂片阳性的影响因素，为早期发现涂阳肺结核病人采取有效的预防措施提供依据。方法使用专门设计的《结核病患者调查表》对2004年在武汉市结核病防治所住院的结核病患者或家属进行调查。对其基本情况及涂阳患者进行单因素及多因素非条件logistic回归分析。结果1034名结核患者中，男性患者75．53％，女性患者24．47％；Ⅲ型结核患者87．72％；初治病人94．39％，复治病人5．61％；痰涂片结果，阴性率50．10％，阳性率49．90％，其中弱阳性33．75％，阳性12．86％，强阳性3．29％；全程督导率65．86％，全程管理率30．85％，强化期督导率3．29％。多因素分析提示，男性、病变范围6、41～60岁、Ⅲ型肺结核、复治等因素为结核患者涂阳的影响因素。结论武汉市初治肺结核患者的治愈率和化疗管理率高，但在结核病病人的早期发现上存在不足。为了早期发现涂阳肺结核患者，必须密切注意具有以上因素的结核患者。
Objective To explore the influencing factors of smear-positive tuberculosis in Wuhan. Methods The questionnaire of tuberculosis was used to analyse the patients＇ age, sex, diagnosis, treatmentandsoon. Results In a total of l 034 patients, the rate of male was 75. 53 % ; therateof Ⅲ type tuberculosis was 87.72%; the rate of first-treated patients and second-treated patients 94.39% and 5.61% respectively; the rate of sputum testing positive was 49.90 % ; the rate of treating management DOTS was 65.86 %. Male, aged 41 -60, diagnosis （ Ⅲ ）, second-treated, pathological changes were the influencing factors of smear-positive tuberculosis. Conclusions The rate of first-treated patients＇ cure and DOTS is high in Wuhan, but there are disadvantages in the patients＇ early founding. To early discover the smear-positive tuberculosis, we must pay more attention to these patients.
出处
《疾病控制杂志》
CAS
2006年第4期348-350,共3页
Chinese Journal of Disease Control and Prevention
关键词
结核
危险因素
发病率
Tuberculosis
Risk factors
Incidence
