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中国防痨杂志 ›› 2001, Vol. 23 ›› Issue (3): 161-163.

• 论著 • 上一篇    下一篇

济南军区肺结核危险因素的病例对照研究

李子建;刘元东;靳晓红;程绪浩;燕爱红;   

  1. 济南军区军事医学研究所 济南 250014;
  • 出版日期:2001-03-10 发布日期:2001-11-03
  • 基金资助:
    总后勤部卫生部资助!(69L058)

A case-control study for pulmonary tuberculosis in the servicemen of Jinan Command

LI Zi-jian, LIU Yuan-dong, JIN Xiao-hong, et al.   

  1. Institute of Military Medicine in Jinan Command, Jinan 250014
  • Online:2001-03-10 Published:2001-11-03

摘要: 目的 了解影响部队肺结核发病的危险因素,有针对性地采取预防措施。方法 按1:1配比对20个单位中新发肺结核病人进行病例对照调查,计算各因素的比值比(OR)和95%可信区间(CI),并用条件logistic回归模型进行多因素逐步回归分析。结果 单因素分析中,劳动强度、体质指数、卡痕、住房类别、结核病接触史、入伍地、性格等因素的OR值分别为5.12、0.37、0.42、0.51、1.82、0.57和1.63(P<0.05)。上述因素中除性格外均进入回归模型。结论 完善卡介苗的接种,加强对肺结核传染源的发现、治疗、管理工作,以及针对其他发病危险因素采取相应的防治措施对于结核病疫情的控制具有重要意义。

关键词: 结核,肺/病因素, 病例对照研究, 卡介苗

Abstract: Objective To study the risk factors for pulmonary tuberculosis(PTB) in the servicemen of armed forces. Methods The study included 162 cases of PTB. Each case was pair matched with one control for sex, post and age. Data was analyzed with conditional logistic regression with SAS software. Odd Ratios(ORs) were calculated for the relevant factors. Results Single-varible analysis showed that labor intensity, body mass index(BMI), Bacillus Calmette Guerin(BCG) vaccination scar, housing, history of exposure to PTB, native place and charactor associated with the incidence of PTB, with ORs of 5.12, 0.37, 0.42, 0.51, 1.82 0.57 and 1.63 respectively(P<0.05). All of the factors except for charactor entered the final regression model. Conclusion It is suggested that we should perfect inoculation of BCG and take corresponding measures according to risk factors. So we can control the epidemic situation of PTB.

Key words: Tuberculosis,pulmonay/etiology, Case-control study, BCG