摘要
目的研究河南省唐河县肺结核病流行病学特征及发病的危险因素。方法收集2018年5月—2020年5月期间河南省唐河县疾病预防控制中心纳入免费项目管理的200例肺结核患者(观察组)资料,另外选择同期在该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%)和春季(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)。进一步进行多因素logistic回归分析显示: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。
OBJECTIVE To investigate the epidemiological characteristics and risk factors of pulmonary tuberculosis in Tanghe County.METHODS 200 tuberculosis patients(observation group)included in target center from May 2018 to May 2020 were collected.Another 120 healthy subjects who underwent health examination in target center during the same period were selected as the control group.Epidemiological characteristics statistical analysis were conducted.Single factor and logistic multivariate analysis method were applied to analyze the risk factors of pulmonary tuberculosis.RESULTS The results of epidemiological survey showed that in 200 cases of pulmonary tuberculosis,the majority were above 60 years old,accounting for 72.50%.The male patients were mainly male patients,accounting for 68.50%.The occupation of patients were 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 these two groups(P<0.05).Further multivariate analysis showed that advanced age,farmer,male,smoking history and pulmonary disease history were the risk factors of pulmonary tuberculosis.CONCLUSION In Tanghe County,Nanyang City,tuberculosis tended to occur in advanced age,male,farmer,winter and spring.Advanced age,farmer,male,smoking history,and pulmonary disease history were risk factors for pulmonary tuberculosis.
作者
王永坡
WANG Yong-po(Tanghe County Center for Disease Control and Prevention,Tanghe,Henan,473400,China)
出处
《中国初级卫生保健》
2020年第12期53-55,共3页
Chinese Primary Health Care
关键词
肺结核
流行病学
危险因素
唐河
pulmonary tuberculosis
epidemiology
risk factors
Tanghe
