影响云南少数民族自治州肺结核治疗成功的非治疗因素分析

[目的]分析云南省少数民族自治州影响肺结核治疗转归的非治疗因素。[方法]通过"中国疾病预防控制信息系统结核病信息管理系统"得到2008年至2011年云南省8个少数民族自治州登记的活动性肺结核33,876例数据,以"疗程结束原因"为因变量,其他变量为自变量,非条件Logistic回归模型计算得出影响因素。[结果]影响云南省少数民族自治州肺结核治疗成功的保护性因素为:少数民族(P0.01,OR=1.468);危险因素有:年龄41~60岁(P0.01,OR=0.717)、年龄≥61岁(P0.01,OR=0.426)、外地户籍(P0.01,OR=0.610)、复治病人(P0.01,OR=0.481)、非涂阳病人(P0.01,OR=0.808)、症状出现到首诊天数≥61天(P0.01,OR=0.799)。[结论]提高少数民族地区肺结核治疗成功率应针对治疗成功率低的人群,同时加大结核病就诊延迟危害的宣传力度。

Non-treatment influencing factors analysis on pulmonary tuberculosis treatment success in minority autonomous prefectures in Yunnan province

Objective Analyzed non-treatment influencing factors on pulmonary tuberculosis （TB） treatment outcomes in minority autonomous prefectures in Yunnan province. Methods Got 33876 active TB cases, who were registered in 8 minority autonomous prefectures from 2008 to 2011, which through ＂China＇s disease control and prevention information and TB management system. Took ＂end of treatment course＂ as dependent variable, so as well other variable. Unconditioned logistic regression model calculation got influence factors. Results The protective factors of influencing TB treatment success in minority autonomous prefectures were that ethnic minorities （P〈0.01, OR=1.468）, risk factors included that age 41 to 60 years old （P〈0.01, OR=0.717）, age was≥61 years old （P〈0.01, OR=0.426）, non-local census register （P〈0.01, OR=0.610）, re-treat patients （P〈0.01, OR=0.481）, non smear-positive patients （P〈0.01, OR=0.808）, and the days between symptoms appeared to the first day visiting doctor was ≥61 days （P〈0.01, OR=0.799）. Conclusions Improve success rate of TB treatment in minority areas should focus on those people who has lower treatment success rate than others. At the same time, increase propaganda force of the harm of visiting doctor delay.