军事医学
軍事醫學
군사의학
BULLETIN OF THE ACADEMY OF MILITARY MEDICAL SCIENCES
2014年
5期
355-359,364
,共6页
靳成娟%杜建%杨怀盛%杨冬芳%黄玉婷%于旭亚%申振伟%李秀君
靳成娟%杜建%楊懷盛%楊鼕芳%黃玉婷%于旭亞%申振偉%李秀君
근성연%두건%양부성%양동방%황옥정%우욱아%신진위%리수군
肺结核%危险因素%荟萃分析
肺結覈%危險因素%薈萃分析
폐결핵%위험인소%회췌분석
tuberculosis%risk factors%meta-analysis
目的:研究我国肺结核发病的主要危险因素,为今后肺结核的防治工作提供方向和依据。方法利用荟萃( Meta)分析的方法对2000~2012年国内外关于中国人群肺结核发病危险因素的25篇研究文献进行定量综合分析。结果肺结核接触史、吸烟、婚姻状况、人际交往、卡痕、卡介苗接种史、低体质量指数( BMI )、结核病家族史、工作暴露于粉尘环境和接触化学气雾的合并OR值(95%CI)分别为3.14(2.74~3.59),1.23(1.14~1.33),3.05(2.10~4.45),2.08(1.76~2.26),0.39(0.32~0.47),0.58(0.46~0.73),2.95(2.40~3.64),2.56(1.82~3.59),2.58(2.04~3.26),4.81(1.99~11.60)。结论肺结核接触史、吸烟、单身、人际交往频繁、低BMI、结核病家族史、工作暴露于粉尘环境和接触化学气雾是肺结核患病的危险因素,卡痕和卡介苗接种史是肺结核患病的保护因素。
目的:研究我國肺結覈髮病的主要危險因素,為今後肺結覈的防治工作提供方嚮和依據。方法利用薈萃( Meta)分析的方法對2000~2012年國內外關于中國人群肺結覈髮病危險因素的25篇研究文獻進行定量綜閤分析。結果肺結覈接觸史、吸煙、婚姻狀況、人際交往、卡痕、卡介苗接種史、低體質量指數( BMI )、結覈病傢族史、工作暴露于粉塵環境和接觸化學氣霧的閤併OR值(95%CI)分彆為3.14(2.74~3.59),1.23(1.14~1.33),3.05(2.10~4.45),2.08(1.76~2.26),0.39(0.32~0.47),0.58(0.46~0.73),2.95(2.40~3.64),2.56(1.82~3.59),2.58(2.04~3.26),4.81(1.99~11.60)。結論肺結覈接觸史、吸煙、單身、人際交往頻繁、低BMI、結覈病傢族史、工作暴露于粉塵環境和接觸化學氣霧是肺結覈患病的危險因素,卡痕和卡介苗接種史是肺結覈患病的保護因素。
목적:연구아국폐결핵발병적주요위험인소,위금후폐결핵적방치공작제공방향화의거。방법이용회췌( Meta)분석적방법대2000~2012년국내외관우중국인군폐결핵발병위험인소적25편연구문헌진행정량종합분석。결과폐결핵접촉사、흡연、혼인상황、인제교왕、잡흔、잡개묘접충사、저체질량지수( BMI )、결핵병가족사、공작폭로우분진배경화접촉화학기무적합병OR치(95%CI)분별위3.14(2.74~3.59),1.23(1.14~1.33),3.05(2.10~4.45),2.08(1.76~2.26),0.39(0.32~0.47),0.58(0.46~0.73),2.95(2.40~3.64),2.56(1.82~3.59),2.58(2.04~3.26),4.81(1.99~11.60)。결론폐결핵접촉사、흡연、단신、인제교왕빈번、저BMI、결핵병가족사、공작폭로우분진배경화접촉화학기무시폐결핵환병적위험인소,잡흔화잡개묘접충사시폐결핵환병적보호인소。
Objective To study the main risk factors related to the incidence of tuberculosis in China and to provide di -rections and basis for the protection of tuberculosis .Methods The results of 25 studies on the main risk factors of tubercu-losis of Chinese people from 2000 to 2012 were analyzed by meta-analysis method .Results The pooled odds radio values and 95%CI of history of exposure to pulmonary tuberculosis , smoking, marriage, contact with people, Bacille Calmette-Guerin (BCG)vaccination scar, BCG vaccination, low body mass index(BMI) , family history of tuberculosis, exposure to dust and to chemical fumes under working conditions were as follows:3.14(2.74-3.59),1.23(1.14 -1.33),3.05 (2.10-4.45),2.08(1.76-2.26),0.39(0.32 -0.47),0.58(0.46 -0.73),2.95(2.40 -3.64),2.56(1.82 -3.59),2.58(2.04-3.26),and 4.81(1.99-11.60).Conclusion Then History of exposure to pulmonary tuberculosis , smoking, marriage, contact with people , low BMI, family history of tuberculosis , exposure to dust and to chemical fumes under working conditions are considered to be the risk factors of pulmonary tuberculosis .While BCG vaccination scar and BCG vaccination are considered to be the protective factors of pulmonary tuberculosis .