肺结核患者家庭密切接触者结核患病情况调查

目的 比较不同年龄、婚姻状况、住院次数肺结核患者家庭成员行结核相关检查与结核患病情况,了解肺结核患者年龄、婚姻状况、住院次数对家庭成员患病情况的影响,为临床健康教育提供事实依据.方法 对我科300例住院肺结核患者进行调查.结果 30岁以下肺结核患者家庭行结核相关检查的户数为37.93%,确诊户数为0;30～60岁患者家庭行结核相关检查的户数为64.44%,确诊户数占相关检查户数的27.59%;60岁以上患者家庭行结核相关检查的户数为61.54%,确诊户数占相关检查户数的56.25%.已婚患者家庭行结核相关检查的户数为64.86%,确诊户数占相关检查户数的35.40%;未婚患者家庭行结核相关检查的户数为30.77%,确诊户数为0.初次住院患者家庭行结核相关检查的户数为48.76%,确诊户数占相关检查户数的25.60%;第2次住院患者家庭行结核相关检查的户数为100%,确诊户数占相关检查户数的27.27%;3次及3次以上住院患者家庭行结核相关检查的户数为66.67%,确诊户数占相关检查户数的66.67%.结论 肺结核患者家庭行结核相关检查户数及确诊户数与患者年龄、住院次数成正比,30岁以下、30～60岁、60岁以上三者比较有明显差异(P<0.01),初次住院、第2次住院、第3次及3次以上的住院三者比较有明显差异(P<0.01),已婚患者家庭行结核相关检查户数及确诊户数均多于未婚患者,两者比较有明显差异(P<0.01).

The morbidity of tuberculosis of among close family contacts of pulmonary tuberculosis patients

Objective To compare the correlated examinations rate and the prevalence of tuberculosis in family members with pulmonary tuberculosis patient from different age groups, different marriage status groups and different numbers of hospitalization, and study the effect of prevalence of tuberculosis in family members with pulmonary tuberculosis patient from the age, marriage status, numbers of hospitalization, and provide evidence for the clinic health education. Methods The investigation was conducted among 300 pulmonary tuberculosis patients. Results The examination rates of the families with pulmonary tuberculosis patients who were in = 30 age group, 30 ? 60 age group and =60 age group were 37. 93% , 64.44% and 61.54% , none was diagnosed in the first group, the detection rates were 27.59% , 56. 25% in the second and third groups respectively. The examination rate of the family with married patient group was 64. 86% , accounting for 35.40% , the examination rate of the family with unmarried patient was 30.77% , but none was diagnosed. 48.76% family with patients who were in hospital the first time had done examination, accounting for 25. 60% , all families with patients who were in hospital the second had done examination, but accounting for 27.27% , 66.67% families with patients who were in hospital over three times had done correlated examination, accounting for 66.67%. Conclusions There was a positive correlation between the correlated examination rate or the detection rate of the family with pulmonary tuberculosis patient and the patient age or the numbers of hospitalization, there was significant difference among age group and among numbers of hospitalization ( P < 0. 01) . The examination rate and detection rate in the family of married patient were higher than those in the family of unmarried patient ( P < 0.01) .