中国防痨杂志2024,Vol.46Issue(9):1083-1088,6.DOI:10.19982/j.issn.1000-6621.20240124
新疆维吾尔自治区肺结核合并糖尿病患者治疗转归影响因素分析
Analysis of influencing factors of treatment outcomes in patients with pulmonary tuberculosis complicated with diabetes mellitus in Xinjiang Uygur Autonomous Region
摘要
Abstract
Objective:To analyze the characteristics and factors affecting treatment outcomes of pulmonary tuberculosis-diabetes mellitus(PTB-DM)in Xinjiang Uygur Autonomous Region(hereinafter referred to as Xinjiang),to provide scientific basis for tuberculosis prevention and control.Methods:Epidemiological data of reported tuberculosis cases in Xinjiang from January 1,2021 to December 31,2022 were obtained through the"Tuberculosis Management Information System",a subsystem of the"Chinese Disease Prevention and Control Information System",and a descriptive analysis was conducted.Characteristics of PTB-DM patients and PTB patients without DB registered at the same time were compared.The factors affecting treatment outcomes of PTB-DM patients were analyzed.Results:Among 36 729 patients registered in Xinjiang in 2021-2022,34 286 were patients with PTB alone and 2443 were PTB-DM patients.Multivariable logistic regression analysis showed that age ≥65 years(OR=3.826,95%CI:1.942-7.536),retreatment(OR=1.809,95%CI:1.264-2.588),smear positive(OR=1.620,95%CI:1.183-2.218),and sputum smear not turning negative at the end of 2 months'treatment(OR=1.591,95%CI:1.057-2.394)were risk factors for adverse treatment outcomes.Conclusion:For patients with PTB-DM in Xinjiang,risk factors of adverse treatment outcomes included age ≥65 years,retreatment,smear positive,and sputum smear not turning negative at the end of 2 months'treatment.Thus,we should strengthen follow-up management of PTB-DM patients,improve their treatment compliance,ensure treatment effectiveness,and reduce the occurrence of adverse outcomes.关键词
结核,肺/糖尿病/治疗结果/因素分析,统计学Key words
Tuberculosis,pulmonary/Diabetes mellitus/Treatment outcome/Factor analysis,statistical分类
医药卫生引用本文复制引用
黄涛,菅辉勇,王新旗,刘年强,依帕尔·艾海提,王明哲,加依那提·金格斯,王森路..新疆维吾尔自治区肺结核合并糖尿病患者治疗转归影响因素分析[J].中国防痨杂志,2024,46(9):1083-1088,6.基金项目
Xinjiang Uygur Autonomous Region Health Youth Medical Science and Technology Talents Special Research Project(WJWY-202242) (WJWY-202242)
Natural Science Foundation of Xinjiang Uygur Autonomous Region(2023D01C57) (2023D01C57)
Xinjiang Uygur Autonomous Region Science and Technology Association Young Talent Lifting Project(RCTJ42) (RCTJ42)
"Tianshan Talents"Medical and Health High-level Talent Training Program(TSYC202301B166) 新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY-202242) (TSYC202301B166)
新疆维吾尔自治区自然科学基金(2023D01C57) (2023D01C57)
新疆维吾尔自治区科学技术协会青年人才托举工程项目(RCTJ42) (RCTJ42)
"天山英才"医药卫生高层次人才培养计划(TSYC202301B166) (TSYC202301B166)