滕州市农村社区人群肺结核发病危险因素的病例对照研究

Case-control Study on Risk Factors of Pulmonary Tyberculosis in Crowd of Rural Community in Tengzhou

[目的]探讨滕州市农村社区人群肺结核发病的危险因素,为制订干预对策与措施提供依据。[方法]2004年4～5月,选择滕州市农村社区新发肺结核病人112例,进行1∶1配对病例对照研究。[结果]19个因素中,进入多因素条件Logistic回归模型的是结核病接触史、人际交往、卡痕数和体重指数4个变量,其OR值分别为4.15、2.45、0.37和2.04。[结论]有结核病接触史、人际交往频繁、体质偏瘦的农村社区人群容易患肺结核,高质量卡介苗接种是降低发病的保护性因素。

[Objective]To explore the risk factors of pulmonary tuberculosis in crowd of rural community in Tengzhou so as to provide a basis for the government instituting intervention countermeasures and measures. [Methods]A 1：1 matched case-control study was conducted in Tengzhou city from April to May in 2004. 112 cases with pulmonary tuberculosis newly diagnosed in rural community of Tengzhou and 112 matched controls were interviewed, [Results]Among 19 factors, four factors of tuberculosis contact history, human communication, BCG mark count and body mass index were analyzed by the multivariable I.ogistic regression models. The OR was 4. 15,2.45,0.37,2.04, respectivly. [Conclusion]The rural community crowd who have tuberculosis contact history, frequent human communication and the thinner physique were easy to suffer from pulmonary tuberculosis. It is a protective factor to reduce the morbidity with the high-quality BCG vaccine inoculated.