摘要
目的研究贵州省新涂阳肺结核病人缺少医疗服务的相关因素。方法对贵州省51个县（市、区）登记的11 697例新涂阳肺结核病人进行问卷调查,对新涂阳肺结核病人缺少医疗服务的有关因素进行Logistic回归分析,计算OR值及95%CI。结果患者家庭所在地、乏力、咳嗽、咳痰、胸痛、盗汗、其他症状、确诊单位、确诊时的病灶最终进入多因素分析的回归模型,OR值及95%CI分别为0.250（0.221～0.282）、0.676（0.608～0.751）、0.663（0.468～0.939）、0.846（0.750～0.954）、0.876（0.788～0.973）、1.589（1.196～2.112）、0.680（0.598～0.773）、1.472（1.201～1.804）和0.783（0.720～0.851）。结论患者家庭所在地为农村、易被忽视的症状、确诊单位为非结防机构是新涂阳肺结核病人缺少医疗服务的相关因素,确诊时的病灶为双侧和空洞往往是缺少医疗服务的结果。
Objective To explore the factors related to new smear positive pulmonary tuberculosis with limited access to health care in Guizhou province. Methods 11 697 new smear positive pulmonary tuberculosis patients registered from 51 counties in Guizhou province were investigated by questionnaire and Logistic regression was used for data analysis. Results The patient＇s age, home address, fatigue, cough, night sweat, other symptoms, diagnostic medical institutions and lesions were included in the regression model for multi-factor analysis, with odds ratios and 95% CI 0.907（0.880～0.936）, 0.243（0.215～0.275）, 0.709（0.605～0.830）, 0.665（0.459～0.964）, 1. 558（1. 137～2. 136）, 0. 721（0. 603～0. 861）, 2. 984（2. 381～3. 740） and 0. 792（0. 729～0. 862） respectively. Conclusions Young and middle-aged patients, living in rural areas, neglected symptoms, diagnosis in non-TB control institution, double side lesions or cavities when diagnosed were important factors related to new smear positive pulmonary tuberculosis with limited access to health care.
出处
《中国防痨杂志》
CAS
2009年第9期516-518,共3页
Chinese Journal of Antituberculosis
关键词
结核
肺
缺医地区
贵州省
Tuberculosis, pulmonary
Medically underserved area
Guizhou province
