查詢結果分析
來源資料
相關文獻
- Predicators of Pulmonary Tuberculosis in Patients with Sputum Smear-Negative Results in Taiwan
- 肺麴菌瘤
- Impact of Age and Diabetes on the Chest Radiography Presentation of Patients with Pulmonary Tuberculosis
- 肺麴菌症
- 糖尿病與肺結核
- 糖尿病與非糖尿病患之肺結核表現
- Thoracic Actinomycosis Mimicking Pulmonary Tuberculosis: A Case Report
- 當代醫學創刊十週年紀念演講會論文摘要
- 活動性肺結核篩檢:老問題的新策略
- 胸腔內子宮內膜異位症候群(Thoracic Endometriosis Syndrome)
頁籤選單縮合
題名 | Predicators of Pulmonary Tuberculosis in Patients with Sputum Smear-Negative Results in Taiwan=臺灣痰抹片陰性肺結核患者的預測因子 |
---|---|
作者姓名(中文) | 連偉立; 陳淑玲; 許慧敏; 余春慧; 陳美芳; | 書刊名 | 胸腔醫學 |
卷期 | 29:3 2014.06[民103.06] |
頁次 | 頁144-151 |
分類號 | 415.2773 |
關鍵詞 | 肺結核; 痰抹片; 糖尿病; 咳血; 咳嗽; 胸部X光; Pulmonary tuberculosis; Sputum smear; Diabetes; Cough; Hemoptysis; CXR; |
語文 | 英文(English) |
中文摘要 | 背景:早期診斷肺結核患者可以提供早期治療與整體控制。然而,有25-60%痰培養陽性患者剛開始的痰抹片為陰性而延遲診斷時間。本研究目的為確定在痰抹片陰性患者罹患肺結核之預測因子。方法:採病例對照法,在南台灣高雄聯合醫院收案。採回朔性研究法,從2006年1月1日至2009年12月30日,收取516位初次三套痰抹片為陰性的疑似結核病個案。分析因子包括人口學變項、臨床症狀、慢性疾病或藥物使用與影像學檢查來預測是否為肺結核。結果:多因素邏輯式回歸分析發現肺結核之預測因子包括咳嗽(AOR=1.88,p=.022),咳血(AOR=3.67,p=.001),糖尿病(AOR=4.30,p<.001)與典型胸部X光(AOR=17.97,p<.001;AOR=0.38,p=.003)。結論:本文提供痰抹片陰性肺結核患者之預測因子。這結果可供醫師提早診斷與治療肺結核的參考。 |
英文摘要 | Introduction: Early identification of persons who have pulmonary tuberculosis (PTB) is necessary to provide early therapy and overall control. However, 25-60% of patients with culture-positive PTB may have negative smears, which delay the diagnosis. The aim of this study was to identify the predictors of PTB in patients that were sputum smear-negative. Methods: This study was conducted at Kaohsiung Municipal United Hospital in southern Taiwan using a case-control design. In a retrospective review of hospital records, this study identified 516 suspected PTB patients who had 3 initial negative sputum smear samples from January 1, 2006 to December 30, 2009. We analyzed the factors, including demographic data, clinical symptoms, history of chronic diseases or taking medications, and radiographic findings to predict whether the patient had PTB or not. Results: Multiple logistic analysis showed that significant predictors of PTB were cough (AOR=1.88, p=.022), hemoptysis (AOR=3.67, p=.001), diabetes (AOR=4.30, p<.001) and typical CXR findings (AOR=17.97, p<.001; AOR=0.38, p=.003). Conclusion: This study revealed likely reliable predictors of smear-negative PTB. These results could provide a reference for physicians to provide an earlier and more precise diagnosis and treatment of PTB. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。