Research on the clinical characteristics and influencing factors of occupational pneumoconiosis patients with pulmonary tuberculosis in Hengshui city
Objective To investigate clinical characteristics of occupational pneumoconiosis(pneumoconiosis)complicated with pulmonary tuberculosis in Hengshui city,and to analyze its influencing factors,providing a basis for the prevention and treatment of pneumoconiosis complicated with pulmonary tuberculosis and formulating related policies in this area.Methods The data of 650 patients diagnosed with pneumoconiosis from August 2010 to August 2020 were analyzed retrospectively.All the relevant data on pneumoconiosis patients were from the hospital pneumoconiosis reporting network database.The epidemiological characteristics of pneumoconiosis combined with tuberculosis were analyzed,and the prevalence of pneumoconiosis patients combined with tuberculosis with different clinical characteristics was compared.Multivariate logistic regression was used to analyze the related factors of pneumoconiosis complicated with pulmonary tuberculosis.Results Among the 650 newly diagnosed cases of pneumoconiosis,186 newly reported cases were complicated with pneumoconiosis tuberculosis,and the complication rate of tuberculosis was 28.62％(186/650).Univariate analysis showed that the prevalence was higher in males than in females as a whole,but showed a gradually decreasing trend with the age of patients;the younger the age of onset,the longer the duration of dust exposure,the older the age of starting dust exposure,the higher the pneumoconiosis stage,and the increased prevalence of(Vitamin D,VitD)deficiency;the prevalence was higher in tunnelers,coal miners,coal mine mixers,and welders than in other types of work;the prevalence was higher in silicosis than in other types of pneumoconiosis,and the above differences were statistically significant(x2=4.101,22.142,66.458,25.24,66.581,89.362,56.423,P＜0.05),and the multivariate logistic regression analysis showed that the long duration of dust exposure,the older the age of starting dust exposure,the higher pneumoconiosis stage,and the lack of serum VitD content were all risk factors affecting the occurrence of pneumoconiosis with pulmonary tuberculosis.Conclusion The prevalence of pneumoconiosis combined with pulmonary tuberculosis in Hengshui City is relatively high,which is related to the exposure duration of dust,age of starting pneumoconiosis,stage of pneumoconiosis,and VitD level.Therefore,the city needs to strengthen to prevent and treat the pneumoconiosis and pulmonary tuberculosis,not only to improve the knowledge and education of occupational health examination and tuberculosis prevention and control of dust workers,but also to improve the lack of VitD in patients.
Occupational pneumoconiosisInfluencing factorsTuberculosisClinical features
万方数据
维普
