龙口市学校肺结核发病率调查及延误治疗的影响因素分析

Investigation on the incidence rate of pulmonary tuberculosis in schools in Longkou City and analysis on the influencing factors of delayed treatment

目的探讨龙口市学校肺结核发病率及影响延误治疗的相关因素,为临床干预提供参考。方法选取2012年1月至2021年12月接受调查的720000名学生为研究对象进行回顾性分析,统计龙口市学校肺结核发病率。根据肺结核患者延误治疗情况分为未延误治疗组(115例)和延误治疗组(10例)。比较两组患者临床资料,以多因素Logistic回归分析延误治疗的影响因素。结果龙口市学校720000名学生中,发生肺结核125例,龙口市学校肺发病率为0.017%。125例肺结核患者,其中延误治疗患者10例,延误治疗率为8.00%。两组患者年龄、吸烟、饮酒、性别、糖尿病、高脂血症、住宿情况、学校性质比较,差异无统计学意义(P>0.05),延误治疗组患者被动发现、第4季度发病占比高于未延误治疗患者,咳嗽占比低于未延误治疗患者(P<0.05),多因素Logistic分析结果显示,被动发现、第4季度发病、咳嗽是肺结核患者延误治疗的独立危险因素(P<0.05)。结论被动发现、第4季度发病、咳嗽是延误治疗的影响因素,临床应加以重视。

Objective To explore the incidence of pulmonary tuberculosis in schools in Longkou City and the related factors affecting delayed treatment,so as to provide reference for clinical intervention.Methods 720000 students surveyed from January 2012 to December 2021 were selected as the research objects for retrospective analysis,and the incidence of tuberculosis in schools in Longkou City was calculated.According to the delayed treatment of pulmonary tuberculosis patients,they were divided into non-delayed treatment group(115 cases)and delayed treatment group(10 cases).The clinical data of the two groups were compared,and the multivariate Logistic regression was used to analize the influencing factors of delayed treatment.Results Among the 720000 students in Longkou city schools,125 cases of pulmonary tuberculosis occurred,and the incidence of lung disease in Longkou City schools was 0.017%.There was no significant difference in age,smoking,drinking,gender,diabetes,hyperlipidemia,accommodation and school nature between the two groups of patients(P>0.05).Patients in the delayed treatment group were found passively,the proportion of onset in the fourth quarter was higher than that of patients without delayed treatment,and the proportion of cough was lower than that of patients without delayed treatment(P<0.05).Multivariate Logistic analysis showed that passive detection,onset in the fourth quarter,and cough were independent risk factors for delayed treatment in pulmonary tuberculosis patients(P<0.05).Conclusion Passive discovery,onset in the fourth quarter,and cough are the influencing factors of delayed treatment,which should be paid attention to in clinical practice.