CAJ | 학술논문

目的对宜宾市矽肺患者合并肺结核后，肺结核对矽肺患者晋级率、平均晋级时间及病死率影响的探讨。方法采用回顾法，对宜宾市职业病诊断组1973～1998年检出的315例矽肺患者的原始资料进行分析、统计、处理。结果Ⅰ期单纯矽肺与Ⅰ+T比较：晋级率分别为32.1%、56.3%(P＜0.01)；平均晋级时间分别为5.8年、4.3年(P＜0.05)；病死率分别为27.5%、66.7%(P＜0.01)；Ⅱ期单纯矽肺与Ⅱ+T比较：晋级率分别为19.6%、41.2%(P＜0.01)；平均晋级时间分别为4.9年、3.4年(P＜0.05)；病死率分别为51.1%、54.6%(P＞0.05)。结论矽肺患者合并肺结核后，使矽肺晋级率升高、平均晋级时间缩短、病死率增加。
목적대의빈시석폐환자합병폐결핵후，폐결핵대석폐환자진급솔、평균진급시간급병사솔영향적탐토。방법채용회고법，대의빈시직업병진단조1973～1998년검출적315례석폐환자적원시자료진행분석、통계、처리。결과Ⅰ기단순석폐여Ⅰ+T비교：진급솔분별위32.1%、56.3%(P＜0.01)；평균진급시간분별위5.8년、4.3년(P＜0.05)；병사솔분별위27.5%、66.7%(P＜0.01)；Ⅱ기단순석폐여Ⅱ+T비교：진급솔분별위19.6%、41.2%(P＜0.01)；평균진급시간분별위4.9년、3.4년(P＜0.05)；병사솔분별위51.1%、54.6%(P＞0.05)。결론석폐환자합병폐결핵후，사석폐진급솔승고、평균진급시간축단、병사솔증가。
Objective　To evaluate the influence of pulmonary tuberculosis on the grade-uplifting rate, average uplifting time and the death rate of silicosis complicated with pulmonary tuberculosis. Methods　Data of 315 cases of silicosis diagnosed by the Yibin Occapational Disease Department from 1973～1998 were studied、 analyzed and summed up. Results　The grade-uplifting rate of Ⅰ is 32.1%, while that of Ⅰ+T is 56.3%(P＜0.01); the average grade-uplifting time of Ⅰ is 5.8Y, while that of Ⅰ+T is 4.3Y (P＜0.05)； the death rate of Ⅰ is 27.5%, While that of Ⅰ+T is 66.7%(P＜0.01); the grade-uplifting rate of Ⅱ is 19.6%, while that of Ⅱ+T is 41.2%(P＜0.01); the average grade-uplifting time of Ⅱ is 4.9Y,while that of Ⅱ+T is 3.4Y( P＜0.05);the death rate of Ⅱ is 51.1%, while that of Ⅱ+T is 54.6%(P＞0.05). Conclusion　All this shows that silicosis complicated with pulmonary tuberculosis increases the grade-uplifting rate, shortens the averge grade-uplifting time and increases the death rate.