某部队肺结核患病现况及发病影响因素的流行病学研究

发布时间：2018-03-15 05:06

本文选题：肺结核　切入点：患病率　出处：《第三军医大学学报》2005年13期 　论文类型：期刊论文

【摘要】：目的了解部队肺结核患病现况,探讨发病的主要影响因素,为制定防治对策、预防结核病的发生与流行提供理论依据。方法应用PPD试验、X线透视、痰菌培养等方法开展现况调查。按照1∶1配比的病例对照研究,选择162例肺结核住院病人和162名对照,收集相关信息,计算OR值。结果活动性肺结核、菌阳肺结核、涂阳肺结核患病率分别为176·66/105、33·12/105、22·08/105,PPD阳性率为34·31%。干部的患病率和PPD阳性率显著高于战士,驻农村部队显著高于驻城市部队,劳动强度大的部队显著高于劳动强度一般的部队,随着年龄和军龄的增长,肺结核患病率和PPD阳性率呈上升趋势。单因素Logistic回归分析,劳动强度、体重指数、卡痕数、住房类别、结核病接触史、入伍地类别、性格等具有显著意义,OR值分别为5·12、0·37、0·42、0·51、1·82、0·57、1·63(P0·05),多因素分析,除性格外,上述因素进入回归方程。结论部队肺结核患病率和PPD阳性率随职别、年龄、军龄、驻地、工作任务的不同而有较大差异。肺结核接触史、劳动强度是部队结核病发病的主要危险因素,应采取相应的防治措施。而体重指数、卡痕数、住房类别、入伍地类别对结核病发病有预防意义。
[Abstract]:Objective to understand the prevalence of pulmonary tuberculosis in the army, to explore the main influencing factors, and to provide a theoretical basis for the prevention and treatment of tuberculosis, and to prevent the occurrence and prevalence of tuberculosis. Methods the PPD test was used for X-ray fluoroscopy. According to the 1: 1 case-control study, 162 inpatients with pulmonary tuberculosis and 162 controls were selected to collect relevant information and calculate OR value. The prevalence rate of smear positive pulmonary tuberculosis was 33.12 / 1050.08 / 1055.08 / 1055.The positive rate of PPD in cadres was significantly higher than that of soldiers, the troops in rural areas were significantly higher than those in urban areas, and the troops with high labor intensity were significantly higher than those with average labor intensity. With the increase of age and military age, the prevalence of pulmonary tuberculosis and the positive rate of PPD increased. Univariate Logistic regression analysis, labor intensity, body mass index, number of scar, housing category, history of tuberculosis exposure, type of enlistment, The OR value of personality was 5.12 / 0.37 / 0.42 / 0.51 / 0.82 / 0.57 / 1.63 / P 0.05 respectively. Multivariate analysis showed that, except for personality, the above factors entered the regression equation. Conclusion the prevalence rate of pulmonary tuberculosis and the positive rate of PPD in the army are related to occupation, age, military age, residence, and so on. Pulmonary tuberculosis contact history and labor intensity are the main risk factors of tuberculosis incidence in the army. The corresponding measures should be taken to prevent and cure tuberculosis, and the body mass index, the number of card marks, the type of housing, the number of body mass index, the number of card marks, the type of housing, The type of enlistment is of great significance for the prevention of tuberculosis.
【作者单位】：第三军医大学军事预防医学院军队流行病学教研室第三军医大学军事预防医学院军队流行病学教研室济南军区军事医学研究所济南军区军事医学研究所济南军区军事医学研究所
【分类号】：R82

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