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目的探讨肺结核治愈率影响因素,为制定适宜的干预措施提供依据。方法采用分层整群随机抽样方法,对浙江省调查点的涂阳肺结核病例用药史、治疗管理过程中的相关因素进行调查和临床观察,运用单因素及多因素非条件Logistic回归进行统计分析。结果肺结核治愈率为83.2%,其中初治病人治愈率86.02%,复治病人治愈率64.29%;疗程末是否痰检、药品生产厂家、地区差异、药品不间断供应、医生用药不规范是影响肺结核病人治愈的主要因素。结论对肺结核病人治愈的主要影响因素采取干预措施是提高治愈率的重要手段。
Objective To explore the influencing factors of the cure rate of pulmonary tuberculosis and provide the basis for making appropriate interventions. Methods A stratified cluster random sampling method was used to investigate and observe the related factors in drug abuse history and treatment management of smear-positive pulmonary tuberculosis cases in Zhejiang Province. The single factor and multivariate non-conditional logistic regression were used for statistical analysis. Results The cure rate of tuberculosis was 83.2%, of which the cure rate was 86.02% in initial treatment and 64.29% in retreatment; sputum test at the end of treatment, drug manufacturer, regional differences, uninterrupted supply of medicines, The main factors that affect the cure of tuberculosis patients. Conclusion Intervention is the main means to improve the cure rate of tuberculosis patients.