江苏省句容市肺结核患者复治率及影响因素分析

目的 探究肺结核患者复治率的影响因素，为降低肺结核患者复治率提供依据。方法 选取江苏省句容市2005年1月至2015年12月10年内肺结核患者信息进行回顾性流行病学调查。计算肺结核复治率，分析复治患者的三间分布，采用多因素logistic回归分析肺结核患者复治率的相关因素。结果 2005-2015年全市肺结核患者复治率为14.5%。回归分析显示肺结核患者的年龄（OR=1.015）、就诊延误时间（OR=1.004）、就诊来源（OR=2.801）与诊断结果（OR=1.580）等因素可导致患者的复治风险增加。结论 高龄患者、就诊延误时间长、因症就诊，且涂阳的患者易出现结核病复治。加强对重点人群的健康教育，增强可疑患者就诊意识，可提高患者治疗效果，进而降低结核病复发的风险。

Re-treatment rate of pulmonary tuberculosis and related factors in Jurong,Jiangsu

Objective To explore the risk factors for pulmonary tuberculosis (TB) re-treatment and provide evidence for the reduction of re-treatment rate of pulmonary TB. Methods Retrospective epidemiological analysis was conducted on the treatment information of the pulmonary TB patients in Jurong from January 2005 to December 2015. The re-treatment rate was calculated, the distributions of the re-treated patients were analyzed, and the related risk factors were identified with multivariate logistic regression model. Results From 2005 to 2015,the re-treatment rate of pulmonary TB was 14.5% in Jurong. Regression analysis showed that the age of the patients (OR=1.015), the treatment delay (OR=1.004), patient sources (OR=2.801) and diagnosis results (OR=1.580) were the risk factors related to the re-treatment of pulmonary TB. Conclusion Old age, long delay of treatment, seeking medical care when symptom occurred and smear positivity increased the risk for re-treatment of pulmonary TB. It is necessary to strengthen the health education about TB treatment in risk population to reduce the risk of reoccurrence of TB.