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慢性阻塞性肺疾病并发肺结核的影响因素 被引量:4

Risk Factors of Chronic Obstructive Pulmonary Disease Combined with Pulmonary Tuberculosis
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摘要 目的探讨慢性阻塞性肺疾病并发肺结核(COPD-PTB)的危险因素。方法采用以医院为基础的频数匹配病例对照研究方法,收集经确诊的105例COPD-PTB病例和105例对照的各项资料,采用单因素和多因素非条件logistic回归法筛选危险因素。结果单因素logistic回归分析显示,体重、文化程度、婚姻状况、职业、应激事件等15个变量影响COPD-PTB发病;多因素logistic回归分析显示,体重(OR=0.637)、文化程度(OR=0.654)、应激事件(OR=3.554)、结核病接触史(OR=3.187)、吸烟(OR=3.547)、接触粉尘史(OR=2.560)、取暖方式采用柴草土暖(OR=2.649)或者煤炉(OR=2.418)为COPD-PTB发病的重要影响因素。结论体重较轻、文化程度低、有应激事件、结核病接触史、吸烟、接触粉尘、柴草土暖或煤炉取暖等,是COPD-PTB发病的危险因素。 [Objective]To explore the risk factors for chronic obstructive pulmonary disease(COPD) combined with pulmonary tuberculosis(PTB).[Methods]A frequency matched case-control study based on hospital was adopted,and different data of 105 patients of COPD-PTB and 105 control patients were collected.Then univariate and multivariate non-conditional logistic regression methods were used for screening of the risk factors of COPD-PTB.[Results]The univariate non-conditional logistic regression showed that 15 variables such as weight,education level,marital status,occupation,stress events influencing the incidence of COPD-PTB;multivariate non-conditional logistic regression showed that the weight(OR = 0.637),education level(OR= 0.654),stress events(OR= 3.554),history of exposure to tuberculosis(OR = 3.187),smoking(OR= 3.547),history of exposure to dust(OR= 2.560),heating methods by firewood(OR = 2.649) or coal(OR = 2.418) were the important factors influencing the incidence of COPD-PTB.[Conclusion]Lighter weight,low educational level,stress events,history of exposure to tuberculosis,smoking,exposure to dust,heating by firewood or coal,are risk factors of COPD-PTB.
出处 《职业与健康》 CAS 2011年第18期2054-2056,共3页 Occupation and Health
关键词 慢性阻塞性肺疾病 肺结核 危险因素 影响因素 Chronic obstructive pulmonary disease(COPD) Pulmonary tuberculosis(PTB) Risk factor Influencing factor
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