| 青海省学生肺结核患者治疗转归及影响因素 |
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| 引用本文： | 马斌忠,李尔琛,蒋明霞,王朝才,魏於家.青海省学生肺结核患者治疗转归及影响因素[J].中华疾病控制杂志,2022,26(11):1349-1352. |
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| 作者姓名： | 马斌忠 李尔琛 蒋明霞 王朝才 魏於家 |
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| 作者单位： | 810007 西宁, 青海省疾病预防控制中心传染病预防控制所 |
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| 基金项目： | 青海省高端创新人才千人计划2017-2 |
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| 摘 要： | 目的 分析青海省学生肺结核患者治疗转归的现况及其影响因素，为完善学校肺结核防控策略提供依据。 方法 收集青海省2015—2019年学生肺结核流行病学信息并分析描述其治疗转归现况，通过构建二元logistic回归分析模型分析影响学生肺结核患者治疗转归的相关因素。 结果 学生肺结核患者治疗成功率为89.08%，呈逐年上升趋势(χ2 =120.630, P < 0.001)。不同市(州)学生肺结核患者治疗成功率差异有统计学意义(χ2 =67.866, P < 0.001)。多因素分析结果显示少数民族、发生就诊延迟、复治和非全程督导管理是影响治疗转归的危险因素。 结论 学生肺结核患者治疗成功率较高，但受多种因素影响，应加强关注、采取有效措施进一步提升。
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| 关 键 词： | 学生 肺结核 治疗转归 影响因素 |
| 收稿时间： | 2022-03-09 |
Analysis on the factors that influence the treatment outcome of students with pulmonary tuberculosis in Qinghai Province |
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| Affiliation: | Institute for Prevention and Control of Infectious Disease, Qinghai Provincial Center for Disease Control and Prevention, Xining 810007, China |
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| Abstract: | Objective This paper analyzes the current situation and influencing factors of the treatment outcome of students with pulmonary tuberculosis in Qinghai Province, and provides a basis for improving the tuberculosis prevention and control strategy in schools. Methods Through collect the epidemiological information of students with PTB in Qinghai Province from 2015 to 2019, this paper analyzed and described the current status of treatment outcome, and analyzed the relevant factors affecting the outcome by constructing a binary logistic regression model. Results The success rate of treatment of students with PTB was 89.08%, and was rising year by year (χ2 =120.630, P < 0.001). The difference in the success rate of students patients who lives in different regions was statistically significant (χ2 =67.866, P < 0.001). The multivariate analysis showed that ethnic minorities, delayed visits, re-treatment and non-full-course supervision management were risk factors affecting the outcome of treatment. Conclusions The success rate of the treatment of students with PTB is relatively high, but due to a variety of factors, it should be paid more attention to and effective measures should be taken for further improvements. |
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