摘要
目的了解四川省绵阳市肺结核的流行现状,并探讨其可能的危险因素。方法选择2013年6月至2014年3月期间在＂四川省绵阳市重大传染病综合防治示范研究＂示范点参加健康体检的全部15岁及以上、无X线检查禁忌且愿意接受X线检查的常住居民共184 094人作为研究对象。采用问卷调查、体格检查、胸部X线检查和实验室检查等方法收集研究对象肺结核的患病情况及可能的危险因素信息,运用多因素Logistic回归模型分析肺结核的可能危险因素。结果共诊断活动性肺结核患者175例,患病率为95.06/10万;涂阳肺结核患者共32例,患病率为17.38/10万。多因素Logistic回归分析显示男性（OR=2.95,95%CI 1.99~4.37）、职业为工人或农民（OR=1.52,95%CI 1.01~2.29）、有糖尿病史（OR=3.18,95%CI 1.74~5.80）、有肺结核家族史（OR=3.45,95%CI1.09~10.86）、吸烟（OR=1.73,95%CI 1.15~2.60）、饮酒（OR=1.50,95%CI 1.01~2.24）与肺结核患病风险有关。结论四川省绵阳市肺结核患病率与全国患病率水平基本一致,男性、职业为工人或农民、有糖尿病史、有肺结核家族史、饮酒、吸烟等可能是罹患肺结核的危险因素。
Objective To investigate the epidemiology of tuberculosis in Mianyang city,and investigate its risk factors to provide scientific evidence for tuberculosis prevention and management.Methods A stratified cluster random sampling method was applied and 184094 residents were recruited in the study. The prevalence of tuberculosis was analyzed by questionnaires,physical examinations,X-ray,and laboratory tests. The risk factors of tuberculosis were analyzed by binary logistic regression method. Results One hundred and seventy-five subjects were diagnosed with active tuberculosis,and the incidence of tuberculosis was 95. 06 per thousand. There were 32 smear-positive pulmonary tuberculosis patients,and the incidence was 17. 38 /100 per thousand. Males,farmers and workers,diabetes,family history of tuberculosis,smoking,drinking were risk factors for tuberculosis. Conclusions The prevalence of tuberculosis in Mianyang city is similar with the whole country. Male,farmers and workers,diabetes,family history of tuberculosis,smoking,and drinking maybe the risk factors of tuberculosis.
出处
《中国呼吸与危重监护杂志》
CAS
北大核心
2015年第4期354-357,共4页
Chinese Journal of Respiratory and Critical Care Medicine
基金
"十二五"国家科技重大专项(编号:2012ZX10004-901)
关键词
肺结核
流行病学
危险因素
Tuberculosis
Epidemiology
Risk factors
