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肺结核复发危险因素logistic回归分析 预览 被引量:16

Logistic analysis on risk factors related to smear positive pulmonary tuberculosis
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摘要 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. 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 pulmonary tuberculosis was 3.85 percent. Risk factors related to relapse would include being non-modeled county, negative smear after treated 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.
作者 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 LI Xi-tai , YE Lin-xiang, SHI Lv-yuan , XIAO Ai-qing, HOU Shuang-yi, WANG Wen, YE Jian-jun, TANG Shao-wen, ZHAO Huan-hu, XU Hai-tao. *Department of Epidemiology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China
出处 《中华流行病学杂志》 CAS CSCD 北大核心 2004年第8期 658-660,共3页 Chinese Journal of Epidemiology
关键词 肺结核 复发 危险因素 非条件LOGISTIC回归分析 回归模型 Tuberculosis, pulmonary Relapse Risk factor Logistic regression analysis
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