我国华南部队结核病流行因素的调查分析

发布时间：2018-07-03 11:14

本文选题：部队 + 结核病　；参考：《中国公共卫生》2002年01期

【摘要】：目的　探讨影响我国华南部队结核病的流行因素 ,为部队结核病的综合防制提供依据。方法　选择 138例部队肺结核现患病例及 2 76例对照进行病例对照研究。结果　单因素Logistic回归分析显示 ,体质指数、家庭经济状况、家庭有无结核病人、入伍所在地、结核病接触史、卡介苗接种情况、每年探亲情况、病前 1月劳动训练强度、人际交往与结核病发生的OR值有显著性。多因素分析显示 ,家庭有无结核病人 (r =1 79) ,明显的结核病接触史 (r =2 96 )、卡介苗接种史 (r=0 6 0 )、每年探亲情况 (r=2 83)、病前 1月劳动训练强度 (r =1 6 8)、人际交往 (r =2 2 4 )、体质指数(r=1 6 0 )与肺结核发生的OR值有显著性。结论　提示家庭有结核病人、明显的结核病接触史、每年探亲次数多、病前 1月劳动训练强度大、喜欢人际交往、体质指数差对南方部队结核病发生有影响作用 ,而接受卡介苗预防接种 ,尤其是入伍时接种卡介苗 ,可防止或减少结核病发生。
[Abstract]:Objective to explore the epidemic factors of tuberculosis in South China and to provide evidence for comprehensive prevention and control of tuberculosis in the army. Methods 138 cases of military pulmonary tuberculosis and 276 cases of control were selected for case-control study. Results univariate logistic regression analysis showed that body mass index (BMI), family economic status, family TB patients, location of enlistment, history of TB contact, BCG vaccination, annual visit to relatives, labor training intensity of 1 month before the disease. There was significant difference in OR between interpersonal communication and tuberculosis. Multivariate analysis showed that families had TB patients (r = 179), Significant history of tuberculosis exposure (r = 296), history of BCG vaccination (r = 0.60), annual visit to relatives (r = 283), intensity of labor training in January prior to illness (r = 1.68), interpersonal interaction (r = 2.24), body mass index (r = 16) 0) there was significant difference between OR value and incidence of pulmonary tuberculosis. Conclusion it is suggested that there are tuberculosis patients in family, obvious history of tuberculosis contact, frequent visits to relatives every year, strong labor training intensity in the first month before the disease, like interpersonal communication, and poor body mass index (BMI) affecting the incidence of tuberculosis in the southern army. BCG vaccination, especially when enlisted, can prevent or reduce the incidence of tuberculosis.
【作者单位】：广州军区联勤部军事医学研究所广州军区联勤部军事医学研究所广州军区联勤部军事医学研究所广州军区总医院广州军区第163医院广州军区第169医院
【基金】：全军青年基金资助课题 (编号 :98Q0 2 0 )
【分类号】：R82

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