榫欐簮鏈熷垔缃?/p>
http://www.qikan.com.cn
骞垮窞甯傛煇绀惧尯涓�佸勾灞呮皯鐢熸椿涔犳儻涓庝富瑕佹參
鎬х梾鐨勮皟鏌ュ垎鏋?/p>
浣滆�咃細鍚存捣浜?/p>
浣曢泤钄?/p>
閭撳皬绾?/p>
鏉ユ簮锛氥�婁腑鍥藉尰瀛﹀垱鏂般�?/p>
2012
骞寸
19
鏈?/p>
銆愭憳瑕併�?/p>
鐩殑锛氫簡瑙ｅ箍宸炲競鏌愮ぞ鍖?/p>
35~79
宀佸眳姘戠敓娲讳範鎯笌涓昏鎱㈡�х梾鐨勬偅鐥呮儏鍐碉紝璋?/p>
鐮斾腑鑰佸勾浜虹敓娲讳範鎯笌鎱㈡�х梾鐨勫彂鐥呰秼鍔跨殑鐩稿叧鎬э紝鎻愬嚭淇冭繘鍋ュ悍鐨勫缓璁拰鎺柦銆傛柟娉曪細閲囧彇
妯柇闈㈢爺绌舵柟娉曪紝鍦ㄥ箍宸炲競瓒婄鍖烘鑺辨潙琛楃ぞ鍖烘娊鍙?/p>
650
鍚?/p>
35
宀佸強浠ヤ笂甯镐綇灞呮皯杩涜鐢熸椿鍜?/p>
琛屼负涔犳儻闂嵎璋冩煡銆佷綋鏍兼鏌ュ拰琛�绯栥�佽鑴傜瓑妫�楠岋紝瀵圭浉搴旇皟鏌ュ拰妫�鏌ョ粨鏋滅敤
瀛?/p>
2
妫�楠屽拰闈?/p>
鏉′欢
Logistic
鍥炲綊杩涜鍒嗘瀽銆傜粨鏋滐細鍥炴敹鏈夋晥闂嵎鍙婂畬鎴愪綋妫�鑰?/p>
589
浠斤紝鏈夋晥鍥炴敹鐜囦负
90.6%
銆傜ぞ鍖轰腑鑰佸勾浜轰腑鐢锋�ф湁鍚哥儫鍙茶�呭崰
52.8%
锛屽コ鎬т粎鍗?/p>
1.1%
锛涙湁鍠濋厭涔犳儻鐨勭敺鎬у崰
25.5%
锛屽コ鎬т粎鍗?/p>
3.5%
锛涙湁瑙勫緥杩愬姩涔犳儻鑰呭崰
72.3%
銆傚鍥犵礌
Logistic
鍥炲綊鍒嗘瀽琛ㄦ槑锛屽湪鎺у埗
娣锋潅鍥犵礌鍚庯紝鐢锋�?/p>
(OR=188.39)
銆佹湁鍠濋厭涔犳儻
(OR=3.84)
浠ュ強琚姩鍚哥儫姣忓懆
3~5 d
鑰呮瘮鍩烘湰娌℃湁
琚姩鍚哥儫鑰?/p>
(OR=2.96)
鏄腑鑰佸勾灞呮皯鍚哥儫鐨勫嵄闄╁洜绱狅紱鑰屾枃鍖栫▼搴﹀垯涓轰繚鎶ゅ洜绱狅紝灏ゅ叾鏄ぇ涓?/p>
鍙婁互涓婂鍘嗚�呯浉姣旀枃鐩茶�岃█
(OR=0.04)
锛屽惛鐑熻�呭皯銆傛湰璋冩煡鍙戠幇锛屼腑鑰佸勾灞呮皯鐨勬參鎬х梾鍙戠梾鐜?/p>
杈冮珮锛岄珮琛�鍘嬬梾銆?/p>
2
鍨嬬硸灏跨梾銆侀珮鑴傝鐥囨偅鐥呯巼鍒嗗埆涓?/p>
37.4%
銆?/p>
12.3%
鍜?/p>
70.3%
锛涜�屼笖骞撮緞瓒婂ぇ
鎮ｇ梾鐜囪秺楂橈紝宸紓鍧囨湁缁熻瀛︽剰涔?/p>
(P
銆愬叧閿瘝銆?/p>
鐢熸椿涔犳儻锛?/p>
鎱㈡�х梾锛?/p>
涓�佸勾灞呮皯
doi:10.3969/j.issn.1674-4985.2012.19.059
闅忕潃鎴戝浗绀句細缁忔祹鐨勫揩閫熷彂灞曪紝鍥芥皯鐢熸椿姘村钩閫愬勾鎻愰珮锛岀敓娲昏妭濂忓姞蹇拰宸ヤ綔鍘嬪姏澧炲姞锛?/p>
鎱㈡�ч潪浼犳煋鎬х柧鐥咃紝灏ゅ叾鏄珮琛�鍘嬬梾銆?/p>
2
鍨嬬硸灏跨梾鍜岄珮鑴傝鐥囪秺鏉ヨ秺鎴愪负閲嶈鐨勭ぞ浼氶棶棰橈紝鑰?/p>
涓旀敼鍠勭敓娲绘柟寮忓杩欎笁绉嶆參鎬х梾鐨勯槻娌绘槸鍗佸垎閲嶈鐨?/p>
[1-3]
銆備负浜嗚В绀惧尯涓�佸勾灞呮皯鐢熸椿涔犳儻鍜?/p>
鎱㈡�х梾鐜扮姸鍙婄浉鍏冲洜绱狅紝杩涗竴姝ュ埗瀹氫績杩涘眳姘戝仴搴风殑寤鸿鍜屾帾鏂斤紝杩涜鏈鎶芥牱璋冩煡锛岀幇鎶ュ憡
濡備笅銆?/p>
1
璧勬枡涓庢柟娉?/p>
1.1
涓�鑸祫鏂?/p>
2011
骞?/p>
5-8
鏈堬紝閲囧彇鍒嗗眰绯荤粺鎶芥牱鐨勬柟娉曪紝閫夊彇骞垮窞甯傚煄甯備汉鍙ｈ緝涓洪泦
涓殑瓒婄鍖烘鑺辨潙琛楃ぞ鍖哄父浣?/p>
650
鍚嶅眳姘戣繘琛岀粨鏋勫紡闂嵎璋冩煡銆佷綋鏍兼鏌ュ拰瀹為獙瀹ゆ鏌ャ�傜撼鍏?/p>
鏍囧噯锛?/p>
(1)35~79
宀佽兘鐞嗚В骞舵効鎰忛厤鍚堥棶鍗峰拰浣撴锛?/p>
(2)
璁＄畻鑷?/p>
2011
骞?/p>
5
鏈?/p>
1
鏃ユ锛屽湪骞垮窞甯傝繛
缁眳浣?/p>
6
涓湀浠ヤ笂銆?/p>
1.2
鏂规硶
鍙傝�?/p>
2009
骞村箍宸炲競绀惧尯灞呮皯鍗敓璋冩煡琛ㄨ璁¤皟鏌ラ棶鍗凤紝涓昏鍐呭涓轰竴鑸祫
鏂欍�佺敓娲讳範鎯皟鏌ュ拰鎱㈡�х梾璋冩煡绛夈�傝皟鏌ラ噰鐢ㄤ笂闂ㄩ绾︼紝鍐嶉泦涓埌绀惧尯鍗敓鏈嶅姟涓績杩涜鐨勬柟