引用本文:张远健,黄利英.农民工肺结核627例的患病特征及暴露因素调查分析[J].中国临床新医学,2010,3(11):1097-1100.
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农民工肺结核627例的患病特征及暴露因素调查分析
张远健,黄利英
643200 四川,自贡市富顺县疾病控制中心
摘要:
[摘要] 目的 了解农民工患肺结核病的特征及其相关暴露因素,为制定预防控制策略提供科学依据。方法 利用县结防机构掌握的全县肺结核患者病历资料作线索,以农民工患肺结核者为对象,对其进行问卷调查,并用描述性统计方法对患病情况和相关因素及对策措施进行全面分析。结果 共调查2006~2008年3年627例农民工肺结核患者,农民工肺结核发病占全县结核病总数的31.65%;发病以25~45岁的青壮年人为主,男女之比为1.25∶1;到沿海打工和工作年限长者,以及从事劳动强度轻度中度者发病居多;Ⅲ型肺结核是主要的临床类型,占84.37%。治愈率为90.91%。休息少、营养差、长期超时劳动是肺结核的三大暴露因素,男女间比较差异无统计学意义(P>0.05)。患者防治知识知晓率较高,显示患者就诊期间健康教育工作扎实。结论 农民工由于流动性大,是肺结核的易感人群,所以重视农民工肺结核防治和管理工作,强化防治知识宣传是做好农民工肺结核防控的重要环节。
关键词:  农民工  肺结核  特征分析  暴露因素
DOI:10.3969/j.issn.1674-3806.2010.11.20
分类号:R 521
基金项目:
Analysis of diseases characteristics and exposure factors of 627 cases of pulmonary tuberculosis in peasant workers
ZHANG Yuan-jian, HUANG Li-ying
Diseases Control Center of Fushun County, Zigong Sichuan 643200,China
Abstract:
[Abstract] Objective To investigate the diseases characteristics and relevant exposure factors of pulmonary tuberculosis in peasant workers and provide scientific basis for developing the strategies of prevention and control.Methods On the basis of the data of patient history in the institutions of prevention and treatment in our county, the conditions of pulmonary tuberculosis in peasant workers in our county were investigated by questionaires and the diseases conditions, relevant factors and control measures for pulmonary tuberculosis were fully analyzed by descriptive statistical methods.Results Six hundred and twenty-seven cases of pulomonary tuberculosis in peasant workers were investigated from 2006 to 2008. The incidence cases of pulmonary tuberculosis in peasant workers accounted for 31.65% of total incidence cases of pulmonary tuberculosis in our county. Pulmonary tuberculosis in peasant workers mostly occurred between the ages of 25 and 45 years. The ratio of male to female was 1.25∶1. Pulmonary tuberculosis in peasant workers mostly occurred in peasant workers who worked in coastal areas and had a longer working years and mild-moderate work. Type 3 pulmonary tuberculosis was the common type in pulmonary tuberculosis of peasant workers, accounted for 84.37% of pulmonary tuberculosis in peasant workers. The cure rate was 90.91%. Three main exposure factors of pulmonary tuberculosis in peasant workers included less rest, poor nutrition and long-term overtime work, there was no significant difference in above factors between male and female (P>0.05). The patients had better knowledges on prevention and treatment, indicating the health education work during visting a doctor was implemented.Conclusion Due to the mobility of peasant workers,who are susceptible to tuberculosis.It′s importment to prevention and treatment of pulmonary tuberculosis in peasant workers.
Key words:  Peasant workers  Pulmonary tuberculosis  Analysis of characteristics  Exposure factors