目的分析西部地区初治肺结核患者的治疗效果及影响因素。方法采用问卷调查和回顾性分析的方法,调查410例抗结核初次治疗病例,并采用Logistic回归分析抗结核治疗中可能影响疗效的危险因素。结果410例西部地区初治患者中治愈308例,治愈率75.12%。Logistic回归分析显示,年龄、文化和健康教育程度、严重不良反应、间断治疗、重度肺结核为初治疗效的影响因素。结论针对西部地区特点,制定合理的个性化健康教育方案,预防严重不良反应,提高治疗依从性以及有效的督导,能有效提高西部地区初治肺结核患者的疗效和治愈率。 Objective To analyze the therapeutic effect and influencing factors of newly diagnosed tuberculosis patients in the western region. Methods A questionnaire survey and retrospective analysis were conducted to investigate the initial treatment of 410 cases of anti-tuberculosis and Logistic regression analysis of risk factors for anti-TB treatment may affect the efficacy. Results Among the 410 newly diagnosed patients in the western region, 308 cases were cured, the cure rate was 75.12%. Logistic regression analysis showed that age, culture and health education, serious adverse reactions, intermittent treatment, and severe pulmonary tuberculosis were the influencing factors of initial treatment. Conclusion According to the characteristics of the western region, it is of great significance to formulate a reasonable individualized health education program, prevent serious adverse reactions, improve the treatment compliance and effectively supervise and effectively improve the curative effect and cure rate of newly-diagnosed tuberculosis patients in the western region.