摘要
目的分析2010-2020年番禺区结核性胸膜炎患者临床特征及影响因素,为制定结核病防治措施提供依据。方法通过《中国疾病预防控制信息系统》的子系统《结核病管理信息系统》,收集2010-2020年番禺区登记治疗的465例结核性胸膜炎患者的信息,包括性别、职业、户籍、患者来源、就诊延迟、年龄、确诊延迟、首诊医疗机构,采用单因素分析、二分类logistic回归模型分析结核性胸膜炎就诊延迟的影响因素。结果单因素分析显示,就诊于不同医疗机构的结核性胸膜炎患者在年龄、职业、户籍、患者来源、就诊延迟差异有统计学意义(χ^(2)=9.839、101.941、6.587、294.691、5.534,P均<0.001)。年龄>25~45岁、患者来源为追踪、首诊医疗机构为非定点医院就诊延迟率分别为86.34%(177/205)、80.00%(36/45)、72.59%(249/343),明显高于>45~65岁26.32%(20/70)、因症就诊56.82%(75/132)、结核病定点医院58.20%(71/122)。多因素分析结果显示,以下特征的结核性胸膜炎患者更容易出现就诊延迟:首诊为非定点医院[OR(95%CI):2.146(1.306~3.525)],患者来源为转诊[OR(95%CI):3.040(1.356~6.817)]、其他[OR(95%CI):2.014(1.306~3.104)],年龄为>25~45岁[OR(95%CI):3.697(1.645~8.311)]、>65~75岁[OR(95%CI):8.836(3.869~20.183)]。结论2010-2020年番禺区结核性胸膜炎患者就诊延迟较为普遍,对于有高危因素的人群,应加强宣传和关注。
Objective To analyze the clinical characteristics and influencing factors of 2010-2020 patients with tuberculous pleurisy in Panyu district during the past two years,and provide evidence for formulating tuberculosis prevention and treatment measures.Methods Through the China registered residence information system for tuberculosis control,the information of 465 patients with tuberculous pleurisy in Panyu district registered in 2010-2020 years was collected,including gender,occupation,household registration,source of patients,delay in treatment,age,delay in diagnosis and medical institutions at first visit.χ^(2)test was used for single factor analysis.Multivariate logistic regression model was used to analyze the influencing factors of visit delay of tuberculous pleurisy.Results Univariate analysis showed that patients with tuberculous pleurisy in different medical institutions had statistical significance differences in age,occupation,registered residence,source of patients and delayed treatment(χ^(2)=9.839,101.941,6.587,294.691,5.534,all P<0.05).The delay rates of visits for age>25-45 years old,source of the patient tracking,and non-designated hospital as the first visited medical institution were 86.34%(177/205),80.00%(36/45)and 72.59%(249/343),respectively,and were significantly higher than those of age>45-65 years old(26.32%,20/70),medical consultation due to symptoms(56.82%,75/132)and designated tuberculosis hospitals(58.20%,71/122).The results of multivariate analysis showed that tuberculous pleurisy patients with the following characteristics were more likely to have delayed consultation:the first visit was from a non-designated hospital[OR(95%CI):2.146(1.306-3.525)],and the source of the patient was referral[OR(95%CI):3.040(1.356-6.817)],other[OR(95%CI):2.014(1.306-3.104)],age>25~45 years old[OR(95%CI):3.697(1.645-8.311)],and age>65-75 years old[OR(95%CI):8.836(3.869-20.183)].Conclusions From 2010 to 2020,it was common for patients with tuberculous pleurisy to have delayed consultation in Panyu district.Publicity and attention of the disease should be strengthened for those with high-risk factors.
作者
赖静文
郭婉如
LAI Jing-wen;GUO Wan-ru(Guangzhou Panyu District Chronic Disease Prevention and Treatment Station,Guangzhou,Guangdong 511400,China)
出处
《热带医学杂志》
CAS
2023年第1期114-119,共6页
Journal of Tropical Medicine
基金
国家科技重大专项(2018ZX10715004-002-005,2018ZX10715004-002-009)
