摘要
目的探讨少数民族地区肺结核患者就诊延迟情况及其影响因素,为制订有效防控措施提供参考依据。方法从全国结核病信息管理系统中收集锦屏县2010-2014年确诊的1 166例肺结核患者病历资料,分析患者就诊延迟相关情况,采用Logistic回归模型分析患者就诊延迟影响因素。结果 2010-2014年锦屏县报告的1 166例肺结核患者中,就诊延迟568例,就诊延迟率为48.71%(568/1 166),就诊延迟时间大于或等于30d者为67.25%(382/568),≥183d(半年)者为6.51%(37/568),≥365d者为2.64%(15/568),就诊延迟最长时间达7年(2 549d);多因素Logistic回归分析结果表明,与非农民、痰阴、非重症患者比较,农民(OR=1.867,95%CI:1.300~2.700)、痰阳(OR=1.631,95%CI:1.200~2.100)、重症患者(OR=0.684,95%CI:0.500~0.900)是少数民族地区肺结核患者就诊延迟的危险因素。结论少数民族地区肺结核患者就诊延迟与民族差异无关,患者职业农民、痰检阳性与是否重症是少数民族地区肺结核患者就诊延迟的影响因素。
Objective To analyze the treatment-delay situation of tuberculosis（TB） patients and its influencing factors in ethnic minority areas to provide reference basis for formulating the effective prevention and control measures. Methods The medical records data in 1166 cases of pulmonary TB in Jinping county during 2010-2014 were collected from national TB information management system,their treatment-delay related situation was analyzed and its influencing factors were also analyzed by adopting the Logistic regression model. Results Among 1 166 cases of pulmonary TB reported by Jinping County during 2010-2014,568 eases were treatment-delay, the treatment-delay rate was 48.71 % （568/1 066）, the treatment-delay time ≥30 d accounted for 67. 25 （382/568）, which ≥183 d（half a year） accounted for 6.51% （37/568） ,which ≥365 d accounted for 2.64% （15/568） ,and the maximal treatment-delay time reached 7 years（2 549 d） ;the multivariate Logistic regression analysis results showed that compared with non-peasants,sputum smear negative,non-critical patients,peasants（OR： 1. 867,95% CI：1. 300-2. 700）,sputum positive（OR = 1. 631,95 % CI： 1. 200-2. 100）, critical patients（OR= 0. 684,950% CI： 0. 500-0. 900） were the risk factors for the treatment-delay in the pulmonary TB patients in ethnic minority areas. Conclusion The treatment-delay of pulmonary TB patients in ethnic minority areas has no relation with the nationality difference, patientf s peasant occupation, sputum smear positive and whether severe case are the influencing factors of treatment-delay in pulmonary TB patients.
出处
《重庆医学》
CAS
北大核心
2017年第18期2535-2537,共3页
Chongqing medicine
基金
中国结核病控制全球基金实施项目(CHN-405-GO4-T)
关键词
结核
肺
综合预防
传染病控制
就诊延迟
影响因素
tuberculosis, pulmonary
universal precautions
communicable disease control
treatment-delay
influencing factors
