社区与医院获得性肺炎危险因素对比分析-王伟刚

〔19〕JungHSParkKHChoYMetal．Resistinissecretedfrommacro-phagesinatheromasandpromotedatherosclerosisJ．CardiovasRes200669176－85．〔20〕Degawa-YamauehiMBovenkerkJEJuliarBEetal．SerumresistinFIZZ3proteinisincreasedinobesehumansJ．JClinEndocri-nolMetab200388115452－5455．〔21〕．J．2007155411－414．2010-12-27*3087215420040114004051100－101.0300012.3.1984－。[e-mail][e-mail]【】*11111223CAPHAP。20085－200910244178662。2χ2=5.524P=0.019、χ2=18.355P＜0.001、χ2=19.711P＜0.001、χ2=5.384P=0.016、χ2=5.935P=0.015χ2=48.641P＜0.001、、OR=1.541P=0.002、OR=0.217P=0.008、OR=0.365P=0.006、OR=0.424P=0.039。。CAPHAPR563.1A1001-0580201110-1295-03ComparativeanalysisonriskfactorsofcommunityacquiredandhospitalacquiredpneumoniaWANGWei-gangWANGSu-pingSHIXiao-hongetal．DepartmentofEpidemiologyShanxiMedicalUniversityTaiyuan030001ChinaAbstractObjectiveTodiscoverdifferencesinriskfactorsofcommunityacquiredpneumoniaandhospitalacquiredpneumoniaandtoprovidethescientificbasisforpublichealthemergencycontrol．MethodsPneumoniacaseswerecollectedconsecutivelyintheFirstHospitalofShanxiMedicalUniversityfromMay2008toOctober2009.Atotalof244casesofpneumoniawerecollectedwith178casesofcommunityacquiredpneumoniaand66casesofhospital-acquiredpneumonia．Thenriskfactorswerecomparedbetweenthetwogroups．ResultsUnivariateanalysesshowedthatthetwogroupsweresignificantlydifferentingenderageeducationlevelunderlyingdiseasepassivesmokingandhistoryofexposuretorespira-torytractinfection．Buttherewasnosignificantdifferenceinoccupationsmokingdrinkingandtravelhistory．Multivariateanalysesshowedthatthedifferencewassignificantinageeducationlevelunderlyingdiseaseandgeographicdistribution．ConclusionTherearedifferentriskfactorsbetweencommunity-acquiredpneumoniaandhospital-acquiredpneumoniaandcontrolmeasuresshouldbetakenindifferentways．Keywordscommunityacquiredpneumoniahospitalacquiredpneumoniariskfactor〔1〕CAPHAP〔2〕。CAP3‰～40‰HAP48hHAP48%〔3〕。。2CAPHAP2。。11.120085－200910244。〔4－5〕17866。1.21.2.1、、、、、、、、、、、、、2、、、2。。1.2.2〔6－7〕122、/。2≥50g≥1。3≥1≥1。459212011102710ChinJPublicHealthOct2011Vol．27No．10＞15min。522。1.3SPSS16.0χ2logistic。22.1CAP178128502.561158864.79±16.41。HAP6637291.321198557.85±14.68。2.22.2.1112、、P＜0.05P＜0.001。＜60≥602CAP＜6028.7%51/178≥6071.3%127/178HAP＜6057.6%38/66≥6042.4%28/66。2≥60χ2=17.384P＜0.001。22、P＜0.05P＜0.001。2.2.22、、P＞0.05。CAP69.8%60/8630.2%26/86HAP45.2%14/3154.8%17/31。CAPHAPχ2=5.935P=0.015。2χ2=0.232P=0.439。1CAPHAPCAP%HAP%χ2P12871.93756.15.5240.0195028.12943.9＜502815.71827.318.355＜0.00150～2312.92030.360～4827.01319.770～6335.41218.280～169.034.52413.546.119.711＜0.0015128.71116.75028.11116.73821.33045.5158.41015.212871.93045.517.505＜0.00184.523.04223.63451.57341.01610.65.8430.01610559.05089.414380.32537.948.641＜0.001116.223.02413.53959.12.3Logistic2、、、、、logistic2、、、。22LogisticβS珋xWaldχ2POR95%CI/－1.0090.3697.4620.0060.3650.177～0.7520.4320.1399.6350.0021.5411.173～2.02413.7070.008－0.4160.6650.3910.5320.6600.179～2.429－0.2610.6620.1560.6930.7700.210～2.818－1.5290.6206.0780.0140.2170.064～0.731－1.1880.7212.7120.1000.3050.074～1.2536.5100.0390.1370.8900.0240.8781.1470.200～6.563－0.8580.3446.2130.0130.4240.216～0.8331.5880.6865.3510.0214.892－。3≥603/4〔8－9〕。2237.6%37.9%。〔10〕OR=1.62、OR=1.48CAP。2、〔11〕。HAP2CAPHAP2。〔12〕OR=6.29595%CI=3.738～10.604OR=4.33295%CI=69212011102710ChinJPublicHealthOct2011Vol．27No．101.340～14.005CAP。〔13〕HAP。2、〔1014〕OR=1.34、OR=1.37CAP。2CAPHAP〔15〕OR=1.7395%CI=1.04～2.900CAP。、、2。HAP。〔1〕WorldHealthOrganization．PneumoniaEB/OL．2009－08－01．http//．who．int/mediacentre/factsheets/fs331/en〔2〕．M．6．200316．〔3〕TorresARelloJ．Updateincommunity-acquiredandnosocomialpneumonia2009J．PulmonaryandCriticalCareUpdates2010181782－787．〔4〕．J．20062910651－655．〔5〕．J．1999224201－203．〔6〕．《》S．2003．〔7〕．J．20072391075－1077．〔8〕．J．200823151495－1497．〔9〕．J．2009255553－554．〔10〕LissaE．Newriskfactorsfoundforcommunity-acquiredpneumoniaJ．PulmonaryReview20081371．〔11〕．J．20068S130－32．〔12〕．－J．2007365587－590．〔13〕．J．2008184586－588．〔14〕AlmirallJBolíbarISerra-PratMetal．Newevidenceofriskfac-torsforcommunity-acquiredpneumoniaapopulation-basedstudyJ．EurRespirJ20083161274－1284．〔15〕LoedMNeupaneBWalterSDetal．Environmentalriskfactorsforcommunity-acquiredpneumoniahospitalizationinolderadultsJ．JournaloftheAmericanGeriatricsSociety20095761036－1040．2010-06-21*2008CHN－506－G06－H1．2500122．3．4．1988－。[e-mail]【】HIV*1231421VCT。20098FSW、MSM、3321。VCT64.8%HIV64.2%MSM77.6%、93.3%FSW56.3%44.1%OR=2.48195%CI=1.289～4.773、MSMOR=2.39395%CI=1.101～5.202OR=0.23395%CI=0.101～0.535、OR=3.58095%CI=1.102～11.627MSMOR=35.32295%CI=6.000～207.945。HIVVCT。HIVR512.91A1001-0580201110-1297-03UtilizationofvoluntaryHIVcounselingandtestinganditsinfluencingfactorsamonghigkriskpopulationsinAnshancityWANGKaiZHAOLiWANGHe-qiuetal．DivisionofEpidemiologyInstituteofEpidemiologyandHealthStatis-ticsSchoolofPublicHealthShandongUniversityJi’nan250012ChinaAbstractObjectiveToexploretheutilizationofvoluntaryHIVcounselingandtestingVCTamonghighriskpop-ulationsinAnshanLiaoningprovinceandtofindfactorsinfluencingtheutilizationofVCT．MethodsAcross-sectionalstudywasconductedinAugust2009．Totally321fema