少数民族地区肺结核患者就诊延迟状况及其影响因素分析

发布时间：2018-03-07 04:28

  本文选题：结核　切入点：肺　出处：《重庆医学》2017年18期 　论文类型：期刊论文

【摘要】：目的探讨少数民族地区肺结核患者就诊延迟情况及其影响因素,为制订有效防控措施提供参考依据。方法从全国结核病信息管理系统中收集锦屏县2010-2014年确诊的1 166例肺结核患者病历资料,分析患者就诊延迟相关情况,采用Logistic回归模型分析患者就诊延迟影响因素。结果 2010-2014年锦屏县报告的1 166例肺结核患者中,就诊延迟568例,就诊延迟率为48.71%(568/1 166),就诊延迟时间大于或等于30d者为67.25%(382/568),≥183d(半年)者为6.51%(37/568),≥365d者为2.64%(15/568),就诊延迟最长时间达7年(2 549d);多因素Logistic回归分析结果表明,与非农民、痰阴、非重症患者比较,农民(OR=1.867,95%CI:1.300~2.700)、痰阳(OR=1.631,95%CI:1.200~2.100)、重症患者(OR=0.684,95%CI:0.500~0.900)是少数民族地区肺结核患者就诊延迟的危险因素。结论少数民族地区肺结核患者就诊延迟与民族差异无关,患者职业农民、痰检阳性与是否重症是少数民族地区肺结核患者就诊延迟的影响因素。
[Abstract]:Objective to investigate the delayed visit of pulmonary tuberculosis patients in minority areas and its influencing factors. Methods the medical records of 1 166 tuberculosis patients diagnosed from 2010 to 2014 in Jinping County were collected from the National TB Information Management system to analyze the related situation of delay in treatment. Logistic regression model was used to analyze the influencing factors of delayed visit. Results among 1 166 cases of pulmonary tuberculosis reported in Jinping County from 2010 to 2014, 568 cases were delayed. The delay rate was 48.71and 568 / 1166, 67.25 / 568 / 568, 6.51 / 568, 2.64 / 568and 2.64 / 568g respectively for those who had a delay of 30 days or more than or equal to 30 days, and 6.51 / 568 for those with 鈮，

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