摘要
目的统计安阳市第七人民医院精神病住院患者肺结核发生状况,并探究精神病住院患者肺结核发生的影响因素。方法回顾性分析2013—2023年安阳市第七人民医院收治的2500例精神病住院患者临床资料,根据患者肺结核发生情况将其分为发生组(138例)与未发生组(2362例)。设计基线资料调查表收集患者临床资料,使用单因素、多因素logistic回归分析精神病住院患者肺结核发生的影响因素。结果发生组与未发生组年龄、糖尿病、既往吸烟史、合并慢性肺疾病、肺结核病史、结核接触史、营养状况比较,差异有统计学意义(P<0.05),两组其他资料比较,差异无统计学意义(P>0.05)。多因素logistic回归分析结果显示年龄≥60岁、合并糖尿病、既往有吸烟史、合并慢性肺疾病、有肺结核病史、有结核接触史、营养状况不良是精神病住院患者肺结核发生的危险因素(OR>1,P<0.05)。结论精神病住院患者肺结核发病率处于高水平,年龄≥60岁、合并糖尿病、既往有吸烟史、合并慢性肺疾病、有肺结核病史、有结核接触史、营养状况不良均是其发生的危险因素。
Objective To investigate the incidence of pulmonary tuberculosis among psychiatric inpatients in the Seventh People’s Hospital of Anyang and to explore the influencing factors of pulmonary tuberculosis among psychiatric inpatients.Methods A retrospective analysis was conducted to collect clinical data of 2500 hospitalized psychiatric patients from 2013 to 2023.According to the incidence of pulmonary tuberculosis in patients,they were divided into an occurrence group(138 cases)and a non occurrence group(2362 cases).The baseline data questionnaire was designed to collect the clinical data of the patients,and the influencing factors of pulmonary tuberculosis in psychiatric inpatients were analyzed by univariate and multivariate logistic regression.Results There were statistical significant differences in age,diabetes,smoking history,chronic pulmonary disease,pulmonary tuberculosis history,tuberculosis contact history and nutritional status between the occurrence group and the non occurrence group(P<0.05).There was no statistical difference in other aspects between the two groups(P>0.05).Multivariate logistic regression analysis showed that age≥60 years,diabetes,smoking history,chronic pulmonary disease,tuberculosis history,tuberculosis exposure history,malnutrition were the risk factors for the occurrence of pulmonary tuberculosis in psychiatric inpatients(OR>1,P<0.05).Conclusion The incidence rate of pulmonary tuberculosis in psychiatric inpatients is at a high level,and the risk factors are age≥60 years old,diabetes,smoking history,chronic pulmonary disease,tuberculosis history,tuberculosis exposure history,and poor nutrition.
作者
宋瑞芳
SONG Ruifang(Public Health Department,the Seventh People’s Hospital of Anyang,Anyang 455000,China)
出处
《河南医学研究》
2025年第4期603-606,共4页
Henan Medical Research
关键词
精神病
住院
肺结核
影响因素
psychosis
hospitalization
pulmonary tuberculosis
influence factor
