76例工业区结核性胸膜炎患者的患病相关因素及临床特征分析

doi:10.3969/j.issn.1000-8535.2022.05.012

广州医药 ›› 2022, Vol. 53 ›› Issue (5): 60-65.DOI: 10.3969/j.issn.1000-8535.2022.05.012

76例工业区结核性胸膜炎患者的患病相关因素及临床特征分析

张祥钦, 王玮君, 岳铁刚, 廖钢, 杨智勇, 江勇

深圳市中西医结合医院呼吸与危重症医学科(深圳 518000)

收稿日期:2021-08-18 出版日期:2022-09-20 发布日期:2022-10-11
通讯作者: 江勇,E-mail:jiangyongszzxy@163.com

Analysis of related factors and clinical characteristics of 76 patients with tuberculous pleurisy in industrial area

ZHANG Xiangqin, WANG Weijun, YUE Tiegang, LIAO Gang, YANG Zhiyong, JIANG Yong

Department of Respiratory and Critical Care Medicine, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen 518000,China

Received:2021-08-18 Online:2022-09-20 Published:2022-10-11

摘要/Abstract

摘要： 目的分析76例工业区来源的结核性胸膜炎患者的患病相关因素及临床特征。方法回顾性收集2018年1月—2020年12月于深圳市中西医结合医院住院的76例工业区来源的结核性胸膜炎患者(观察组)的病历资料和57例同期同区域来源的健康体检者(对照组)的病历资料。运用统计学分析工业区结核性胸膜炎的患病相关因素及临床特征。结果 2组的比较当中,年龄、白蛋白水平、身高、体质量、体质量指数之间的差异具有统计学意义(P<0.05);而多因素Logistic回归分析结果显示,年龄及白蛋白水平则是工业区结核性胸膜炎的独立保护因素(P<0.001,OR=0.728,95% CI:0.634～0.836以及P<0.001,OR=0.908,95% CI:0.874～0.944);工业区结核性胸膜炎的临床症状为咳嗽(71.05%)、发热(48.68%)、胸痛(47.37%),发病季节以春秋季节(27.63%和32.90%)为主。结论工业区结核性胸膜炎的独立影响因素是年龄及白蛋白水平,临床症状主要为咳嗽、发热、胸痛,好发于春秋季节。

关键词: 结核性胸膜炎, 患病, 因素, 临床特征

Abstract: Objective To analyze the relative factors and clinical characteristics of 76 patients with tuberculous pleurisy from industrial area. Methods The medical records of 76 patients with tuberculous pleurisy from industrial areas (observation group) and 57 healthy subjects from the same period and region (control group) who were hospitalized in Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine from January 2018 to December 2020 were retrospectively collected. The correlative factors and clinical characteristics of tuberculous pleurisy in industrial area were analyzed by statistics. Results There were statistically significant differences in age, albumin level, height, weight and body mass index between the two groups (P<0.05). Multivariate logistic regression analysis showed that age and albumin level were independent protective factors for tuberculous pleurisy in industrial areas (P<0.001, OR=0.728, 95% CI: 0.634~0.836 and P<0.001, OR=0.908, 95% CI: 0.874~0.944). The clinical symptoms of tuberculous pleuritis in industrial areas were cough (71.05%), fever (48.68%) and chest pain (47.37%), and the onset season was mainly in spring and autumn (27.63% and 32.90%). Conclusions The independent influencing factors of tuberculous pleuritis in industrial area are age and albumin level. The main clinical symptoms are cough, fever and chest pain, which usually occur in spring and autumn.

Key words: tuberculous pleuritis, illness, factors, clinical feature

张祥钦, 王玮君, 岳铁刚, 廖钢, 杨智勇, 江勇. 76例工业区结核性胸膜炎患者的患病相关因素及临床特征分析[J]. 广州医药, 2022, 53(5): 60-65.

ZHANG Xiangqin, WANG Weijun, YUE Tiegang, LIAO Gang, YANG Zhiyong, JIANG Yong. Analysis of related factors and clinical characteristics of 76 patients with tuberculous pleurisy in industrial area[J]. Guangzhou Medical Journal, 2022, 53(5): 60-65.

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76例工业区结核性胸膜炎患者的患病相关因素及临床特征分析

Analysis of related factors and clinical characteristics of 76 patients with tuberculous pleurisy in industrial area

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