摘要
目的:分析萧山区引起肺结核复治涂阳原因,为临床诊疗提供依据。方法:收集杭州市萧山区2005-2010年登记肺结核病例中的初、复治涂阳病例资料,比较分析二类人员的性别、年龄、病变程度、规则服药、对疾病认识、药物副反应、对医生信任度和经济状况等。结果:114例复治涂阳病例中男女性别比为3.56∶1;45～74岁年龄段占总发病数的49.12%;病灶在4个肺野及以上者占57.89%;初次登记治疗时规则服药率未达90%者占55.26%;对疾病认识较差的占59.65%;抗结核药副反应较重者占66.67%。经济状况较差的占61.40%。上述指标与初治涂阳病例χ2分析,均有不同差异(χ2分别为4.06、9.45、54.28、201.88、18.01、35.93和9.68,P均<0.05)。结论:性别、年龄、病变程度、规则服药、对疾病认识、药物副反应和经济状况是影响复治涂阳发生的因素。
Objective To explore the associated factors that caused retreated smear-positive pulmonary tuberculosis（PTB）.Methods All newly registered smear-positive PTB cases between 2005 and 2010 were divided into two groups according to retreated or not,and sex,age,extent of disease on radiograph,regulation of taking medicine,disease cognition,side effect of drug,trust for doctor and the economic condition were compared between the two groups.Results Of 114 retreated smear-positive cases,the ratio of male to female was 3.56∶1,the percentage of patient in age group between 45 to 74 years old was 49.12%,and the irregular treatment（the rate of taking medicine regularly was under 90% when first registered） was 57.89%.The rate of the cases with lesions above 4 lung lobes,worse disease cognition,more serious side-effect,and worse economic condition were 57.89%,59.65%,66.67%,and 61.40%.By analyzing the two groups with 7 indexes mentioned above with chi-square test,significant differences were all achieved（P0.05）.Conclusion Sex,age,regulation of taking medicine,disease cognition,side effect of drug and the economic condition are the associated factors that caused retreated smear-positive PTB.
出处
《中国农村卫生事业管理》
2012年第4期390-392,共3页
Chinese Rural Health Service Administration
关键词
肺结核
复治涂阳
影响因素
pulmonary tuberculosis
retreated smear-positive
associated factors
