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目的了解中国综合医院结核病住院病例的治疗效果,探索不同属性特征的结核病患者住院期间的治疗转归。方法对南充地区综合医院2003年结核病住院病例进行回顾性研究,采用X2检验确定对住院转归具有统计学意义的属性变量,在此基础上,再采用对应分析方法揭示结核病患者不同属性特征与不同住院转归之间的内在联系。结果X2检验结果显示,住院结核病例的性别、年龄、入院时病情、伴随病(其他疾病或并发症)及住院天数对住院转归具有统计学意义;对应分析图进一步显示患者属性特征与住院转归的关系:(1)住院期间死亡的结核病患者与治愈、好转的结核病例属性特征差别较大;(2)年龄在15岁以上、入院时病情急的男性结核病患者住院期间容易出现好转的治疗结局;(3)入院时病情一般、没有伴随病、住院时间超过8天的女性结核病例相对容易出现治愈的结局;(4)住院治疗效果较差的结核病例在年龄<15岁、入院病情危重两方面表现出一定的一致性。结论(1)如何从病案繁杂的信息中提取出有用的信息,对应分析提供了一种新的思路;(2)综合医院结核住院患者特征与住院转归间存在一定的对应关系,应针对不同特征的结核住院患者制定相应的防治策略,以强化完成抗结核病治疗提高治愈率。
Objective To understand the treatment effect of tuberculosis inpatients in China General Hospital and to explore the treatment outcome of tuberculosis patients with different attributes during hospitalization. Methods A retrospective study on the prevalence of tuberculosis in general hospitals in 2003 in Nanchong district was carried out. The X2 test was used to determine the attribute variables that were statistically significant for in-hospital outcomes. Based on this, corresponding characteristics of the tuberculosis patients with different attributes Inpatient outcomes of the internal link between. Results The results of X2 test showed that the gender, age, condition at admission, concomitant disease (other diseases or complication) and hospitalization days were statistically significant in hospitalized patients. The corresponding analysis chart further showed that patients’ (1) Tuberculosis patients who died during hospitalization were significantly different from those who had cured or improved tuberculosis; (2) The treatment of male tuberculosis patients who were aged 15 and above was prone to be improved during hospitalization (3) The condition of the patient on admission is normal and there is no companion disease, and the cure rate is relatively easy for the female TB patients who have been hospitalized for more than 8 days; (4) The poor prognosis of hospitalization for tuberculosis patients is less than 15 years old, The two sides showed some consistency. Conclusions (1) How to extract useful information from the complicated medical information and provide a new way of analyzing the corresponding information; (2) There is a certain relationship between the characteristics of inpatients and the hospitalization of TB patients in general hospitals, Characteristics of tuberculosis inpatients to develop appropriate control strategies to enhance the completion of anti-TB treatment to improve the cure rate.