CAJ | 학술논문

目的了解影响部队肺结核发病的危险因素，有针对性地采取预防措施。方法按1∶1配比对20个单位中新发肺结核病人进行病例对照调查，计算各因素的比值比(OR)和95%可信区间(CI)，并用条件logistic回归模型进行多因素逐步回归分析。结果单因素分析中，劳动强度、体质指数、卡痕、住房类别、结核病接触史、入伍地、性格等因素的OR值分别为5.12、0.37、0.42、0.51、1.82、0.57和1.63(P＜0.05)。上述因素中除性格外均进入回归模型。结论完善卡介苗的接种，加强对肺结核传染源的发现、治疗、管理工作，以及针对其他发病危险因素采取相应的防治措施对于结核病疫情的控制具有重要意义。
목적료해영향부대폐결핵발병적위험인소，유침대성지채취예방조시。방법안1∶1배비대20개단위중신발폐결핵병인진행병례대조조사，계산각인소적비치비(OR)화95%가신구간(CI)，병용조건logistic회귀모형진행다인소축보회귀분석。결과단인소분석중，노동강도、체질지수、잡흔、주방유별、결핵병접촉사、입오지、성격등인소적OR치분별위5.12、0.37、0.42、0.51、1.82、0.57화1.63(P＜0.05)。상술인소중제성격외균진입회귀모형。결론완선잡개묘적접충，가강대폐결핵전염원적발현、치료、관리공작，이급침대기타발병위험인소채취상응적방치조시대우결핵병역정적공제구유중요의의。
Objective　To study the risk factors for pulmonary tuberculosis(PTB) in the servicemen of armed forces. Methods　The study included 162 cases of PTB. Each case was pair matched with one control for sex, post and age. Data was analyzed with conditional logistic regression with SAS software. Odd Ratios(ORs) were calculated for the relevant factors. Results　Single-varible analysis showed that labor intensity, body mass index(BMI), Bacillus Calmette Guerin(BCG) vaccination scar, housing, history of exposure to PTB, native place and charactor associated with the incidence of PTB, with ORs of 5.12, 0.37, 0.42, 0.51, 1.82 0.57 and 1.63 respectively(P＜0.05). All of the factors except for charactor entered the final regression model. Conclusion　It is suggested that we should perfect inoculation of BCG and take corresponding measures according to risk factors. So we can control the epidemic situation of PTB.