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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

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

中国防痨杂志2024,Vol.46Issue(9):1083-1088,6.
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

黄涛 1菅辉勇 2王新旗 3刘年强 4依帕尔·艾海提 4王明哲 4加依那提·金格斯 1王森路5

作者信息

  • 1. 新疆医科大学公共卫生学院,乌鲁木齐 830017
  • 2. 新疆医科大学公共卫生学院,乌鲁木齐 830017||新疆维吾尔自治区巴音郭楞蒙古自治州疾病预防控制中心,库尔勒 841499
  • 3. 新疆维吾尔自治区巴音郭楞蒙古自治州疾病预防控制中心,库尔勒 841499||新疆维吾尔自治区疾病预防控制中心,乌鲁木齐 830002
  • 4. 新疆维吾尔自治区疾病预防控制中心,乌鲁木齐 830002
  • 5. 新疆医科大学公共卫生学院,乌鲁木齐 830017||新疆维吾尔自治区疾病预防控制中心,乌鲁木齐 830002
  • 折叠

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)

中国防痨杂志

OA北大核心CSTPCD

1000-6621

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