海南省2965例结核病患者治疗转归情况分析

目的了解海南省农垦某综合医院结核病患者治疗与转归情况，分析其影响因素。为制定有效的结核病防控措施提供依据。方法搜集2010年1月1日～2012年12月31日期间在海南省农垦某综合医院治疗的2965例结核病患者的病案资料，回顾性分析患者住院期间结核病患者的治疗转归情况和相关影响因素。结果共有2965例结核病患者，其中肺结核2592例（87．42％），肺外结核373例（12．58％），平均住院30a（最大值399d），每例平均费用14183元。有合并症的853例（28．76％），其中肺部感染最多536例（占合并症62．84％）。患者平均年龄（53．88±18．53）岁，其中60岁及以上1171例，占患者总数的39．49％。男女性别比为2．65：1。患者中农民占33．49％。共治愈234例（7．89％），好转2585例（87．18％），未愈101例（3．41％），死亡13例（0．44％），其他（主要为患者自动出院）32例（1．08％）。单因素分析显示：不同性别间差别无统计学意义（x2=0．02，P〉0．05）。不同年龄（≥60岁组与〈60岁组）间差别有统计学意义（x2=8．91，P〈0．05），低年龄组治愈率高些。不同职业间差别无统计学意义（x2=12．22，P〉0．05）。有无并发症间差别有统计学意义（x2=64．37，P〈0．01）。结论年龄与合并症等是影响结核病治疗转归的主要因素，应关注老年伴有合并症的结核病患者的治．弁．

Analysis of outcome of 2 956 tuberculosis patients treated in medial institutions of Hainan.

Objective To understand the outcome of treatment of tuberculosis patients in a comprehensive hospital of Hainan province in 2010-2012 and to provide basis for formulating effective tuberculosis control measures. Methods The data concerning treatment and outcome of treatment of tuberculosis cases in a comprehensive hospital of Hainan province in 2010-2012 were collected and retrospectively analyzed. Results Totally 965 tuberculosis cases were terated tuberculosis cases were treated in 2010-2012 including 2592tuberculosis cases （87.42%）,373 （ 12.58% ） 373 （ 12.58% ） extra-pulmonary tuberculosis, cases, with an average hospitalization duration of 30 days （maximum 399 days）. The average expenses was RMB14 183yuan, complications occurred to 853 cases （28.76%）, including 536 cases （62.84%） with pulmonary infection. The average age if the cases was （53.88± 18.53）years old and 1 1771 cases were over the age of 60 years, accounted for 39.49% of the total number of cases. the male to female ratios was2.65：1 and 33.49% of them were farmers. Totally 234 cases（7.89%） were cured, 585cases （87.18%） were improved, 101 cases （3.41%） failed and13case（0.44% ）died, In addition, 32case（1.08%） dropped out before completion of the treatment. Univariate analysis showed no significant differences between sexes in tuberculosis cases were observed（x2=0.02, P 〉 0.05） . but significant difference was observed between sexes in cases over 60 years old and less than 60 years old cases （x2=8.91, P〈0.05）. No significant difference was noticed between occupations （x2= 12.22, P〉 0.05）.But significant difference was observed among tuberculosis cases with complications（x2=64.37, P〈0.01）. Conclusion Age and complications wre the two main factors influencing the outcome of treatment of tuberculosis cases. Thus attention be paid to the treatment of senile tuberculosis cases with complications.