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目的研究贵州省新涂阳肺结核病人缺少医疗服务的相关因素。方法对贵州省51个县(市、区)登记的11 697例新涂阳肺结核病人进行问卷调查,对新涂阳肺结核病人缺少医疗服务的有关因素进行Logistic回归分析,计算OR值及95%CI。结果患者家庭所在地、乏力、咳嗽、咳痰、胸痛、盗汗、其他症状、确诊单位、确诊时的病灶最终进入多因素分析的回归模型,OR值及95%CI分别为0.250(0.221~0.282)、0.676(0.608~0.751)、0.663(0.468~0.939)、0.846(0.750~0.954)、0.876(0.788~0.973)、1.589(1.196~2.112)、0.680(0.598~0.773)、1.472(1.201~1.804)和0.783(0.720~0.851)。结论患者家庭所在地为农村、易被忽视的症状、确诊单位为非结防机构是新涂阳肺结核病人缺少医疗服务的相关因素,确诊时的病灶为双侧和空洞往往是缺少医疗服务的结果。
Objective To study the related factors of lack of medical service in new smear positive pulmonary tuberculosis patients in Guizhou province. Methods A total of 11 697 cases of new smear-positive pulmonary tuberculosis patients registered in 51 counties (cities and districts) of Guizhou Province were investigated by questionnaire. Logistic regression analysis was performed on the factors related to the lack of medical services of new smear-positive pulmonary tuberculosis patients. The OR and 95% CI . Results The locus, fatigue, cough, expectoration, chest pain, night sweats, other symptoms, the diagnosis unit and the diagnosis of the disease finally entered the regression model of multivariate analysis. The OR and 95% CI were 0.250 (0.221-0.282) 0.676 (0.608-0.751), 0.663 (0.468-0.939), 0.846 (0.750-0.9594), 0.876 (0.788-0.973), 1.589 (1.196-2.112), 0.680 (0.598-0.777), 1.472 (1.201-1.804) and 0.783 (0.720 ~ 0.851). Conclusions The location of the patient’s family is a rural area with neglected symptoms. The diagnosis of non-TB patients is related to the lack of medical services for patients with new smear-positive pulmonary tuberculosis. The diagnosis of bilateral and empty lesions is often the result of lack of medical services.