摘要
目的探讨影响瑞安市流动人口肺结核病治疗和管理的相关因素,为提高流动人口肺结核患者的治愈率和制定相应的政策提供科学依据。方法将2007-2008年于瑞安市结核门诊新诊断的304例流动人口涂阳肺结核患者作为观察组,选择同期户籍人口涂阳肺结核患者301例作为对照组,进行病例和病例对照研究。搜集患者就诊延误时间、治疗前症状、胸部影像学、痰涂片、治疗情况、治疗转归等因素数据,分析影响流动人口肺结核患者治疗和管理的因素。结果流动人口组与户籍人口组在性别上无明显差异。两组的年龄、就诊延误时间、治疗前症状、胸部影像学、痰涂片、治疗情况和治疗转归等经单因素分析,差异有统计学意义(P<0.05)。在就诊延误的影响因素方面,发现不重视是主要原因,其次是症状轻。结论本次调查发现,与户籍人口肺结核病例对比,流动人口病例中以男性青壮年患者居多,流动人口的就诊延误时间更长,临床症状更重,治疗的规范性较差,治疗的转归亦不理想,我们必须加大对流动人口肺结核患者的管理力度,提高DOTS策略的效果。
Objective To explore the influence factors to the treatment and management of pulmonary tuberculosis （TB） in floating population in Ruian, provide evidence for the development of prevention and control strategies and improve cure rate. Methods Totally 304 TB patients newly diagnosed in floating population from 2007 to 2008 were selected as case group and 301 TB patients newly diagnosed in local population during the same period were selected as control group. The data about diagnosis delay, symptoms before treatment, lung imageology, sputum smear, treatment and outcome were collected among them to analyze the influence factors to the treatment and management of TB cases in floating population. Results There was no significant difference on the gender distributions of the TB cases between floating population and local population, but the differences on age, diagnosis delays, symptoms before treatment, lung imageology, sputum smear, treatment and outcome were significant （ P 〈 0. 05 ）. Conclusion The analysis indicated that most TB patients in floating population were young adults, they had longer diagnosis delay, more severe symptom, more irregular treatment and worse outcome compared the TB cases in local population. It is necessary to strengthen the management of TB cases in the floating population in Ruian.
出处
《疾病监测》
CAS
2010年第10期791-794,共4页
Disease Surveillance
关键词
肺结核
流动人口
影响因素
病例对照研究
pulmonary tuberculosis
floating population
influence factors
case control study
