| 李锡太,叶临湘,施侣元,肖爱清,侯双翼,王文,叶键君,唐少文,赵焕虎,徐海涛.肺结核复发危险因素logistic回归分析[J].Chinese journal of Epidemiology,2004,25(8):658-660 |
| 肺结核复发危险因素logistic回归分析 |
| Logistic analysis on risk factors related to smear positive pulmonary tuberculosis |
| Received:January 16, 2004 |
| DOI： |
| KeyWord: 结核 肺 复发 危险因素 Iogistic回归分析 |
| English Key Word: Tuberculosis pulmonary Relapse Risk factor Logistic regression analysis |
| FundProject: |
| Author Name | Affiliation | | Li Xitai | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Ye Linxiang | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Shi Lvyuan | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Xiao Aiqing | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Hou Shuangyi | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Wang Wen | Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China | | Ye Jianjun | 湖北省预防医学科学院疾病预防控制中心结核病防治所, 武汉, 430030 | | Tang Shaowen | 湖北省预防医学科学院疾病预防控制中心结核病防治所, 武汉, 430030 | | Zhao Huanhu | 湖北省预防医学科学院疾病预防控制中心结核病防治所, 武汉, 430030 | | Xu Haitao | 湖北省预防医学科学院疾病预防控制中心结核病防治所, 武汉, 430030 |
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| Abstract: |
| 目的 分析湖北省涂阳肺结核愈后5年复发的危险因素.方法 对湖北省10县(市)1995年登记的治愈涂阳肺结核患者进行追踪调查和痰菌复查,对影响结核病复发的有关因素进行非条件logistic回归分析,计算比值比(OR).结果 湖北省1995年治愈的涂阳肺结核患者复发率为3.85%.非示范县、3个月末痰菌、结核病复治、化疗管理方式和就诊于非结防机构最终进入多因素分析的回归模型,OR值分别为0.15、4.62、3.68、5.88和6.47.结论 采取标准化、规范化的全程督导化疗方案,归口管理肺结核患者能降低涂阳肺结核的复发. |
| English Abstract: |
| Objective To explore the risk factors on relapsing tuberculosis related to smear positive pulmonary tuberculosis which had been cured for five years.Methods Patients with smear positive pulmonary tuberculosis registered in 1995 from ten countries in Hubei province were studied and logistic regression was used for data analysis. Results The 5-year relapse rate of smear positive pu-lmonary tuberculosis was 3.85 percent.Risk factors related to relapse would include being non-modeled county,negative smear after tre-ated for three months, the class of retreatment,management of non-DOTS,method of chemotherapy and patients that did not get treated by the tuberculosis institute,with odds ratios of 0.15,4.62,3.68,5.88 and 6.47,respectively.Conclusion Effect standard,regulation DOTS and the centralized management measure might have had effects on decreasing the relapse rate. |
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