250例中青年肺结核患者再住院原因分析

Analysis of the causes of re-hospitalization in 250 middle-aged and young patients with pulmonary tuberculosis

目的探讨中青年肺结核患者在一年内反复住院的根本原因与影响因素。方法选取我院2013年1月-12月一年内反复住院的中青年肺结核患者250例,对住院病历资料进行筛选和整理,回顾性的分析每例患者每次住院资料,得出住院原因及构成比,单因素分析住院次数与年龄、性别、户籍以及支付方式的关系。结果反复住院的中青年肺结核患者中,一年内住院次数最多为7次,最少是2次,住院次数中位数为2次。住院原因的前三位分别是介入治疗需要、疾病进展和药物的副反应;患者的户籍对反复住院次数的P值<0.01,对差异有统计学意义的户籍进行有序多分类logistic回归显示,外地户籍的患者发生反复住院的危险是户籍为城区的8.873倍。结论中青年肺结核患者反复住院的原因主要是介入治疗需要,疾病本身的进展后抗结核药的副作用;而外地患者再次住院的风险明显高于本地患者。

Objective To explore the central cause and influential factors of re - admission of young and middle - aged patients with tuberculosis （TB）. Methods 250 young and middle-aged TB patients who were hospi-talized repeatedly from January 2013 to December 2013 were selected as the subjects. All these in-patient medical re-cords were reviewed by retrospective diagnosis, and got the constituent ratio of different reasons why they were hospi-talized repeatedly. The relationship of hospitalization to their age, gender, household register and the mode of pay-ment was analyzed. Results The median times of hospitalization was twice, for the most was seven and the least was two. The first three reasons were need for treatment, disease development and the side effect of medicines. The re-admission of non-local registers was 8. 873 times of the urban area registers through multiple logistic regression analy-sis. Conclusion The main causes for re-hospitalization of TB patients include the need for intervention and side effect of antibiotics, and the risk of re-hospitalization is clearly higher for foreign patients than local patients.