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目的探讨尘肺病死亡的危险因素,为其有效防治提供科学依据。方法以湛江市121名尘肺病患者为研究对象进行死亡危险因素病例对照研究,其中,死亡组(病例组)30例,生存组(对照组)91例。通过Logistic回归分析分析其危险因素。结果两组平均接尘工龄、诊断年代、吸烟、并发症、晋期等因素的分布比较差异均有统计学意义(P均<0.05)。单因素Logistic回归分析显示尘肺病死亡发生与接尘工龄、诊断年代、晋期、吸烟、并发症等5个因素相关。多因素逐步Logistic回归分析显示接尘工龄、诊断年代、吸烟、并发症等4个因素是尘肺病发生的独立危险因素。结论尘肺病死亡是多种危险因素共同作用的结果,应建立合理有效的管理机制,加强尘肺病的防治工作,改善预后。
Objective To explore the risk factors of pneumoconiosis death and provide a scientific basis for its effective prevention and treatment. Methods A total of 121 pneumoconiosis patients from Zhanjiang were enrolled in this study. A total of 30 death cases (case group) and 91 survival group (control group) were enrolled in this study. Logistic regression analysis of risk factors. Results There were significant differences between the two groups in the average service life of dusting, diagnosis, smoking, complications, Jin and other factors (P <0.05). Logistic regression analysis showed that the incidence of pneumoconiosis was related to 5 factors including the length of service, the age of diagnosis, smoking, complications and so on. Multi-factor Logistic regression analysis showed that the four factors including the length of service, the age of diagnosis, smoking and complications were independent risk factors for pneumoconiosis. Conclusions The death of pneumoconiosis is the result of a combination of risk factors. A reasonable and effective management mechanism should be established to enhance the prevention and control of pneumoconiosis and improve the prognosis.