中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
12期
191-193
,共3页
肺结核%初治%老年%诊治
肺結覈%初治%老年%診治
폐결핵%초치%노년%진치
Tuberculosis%Initial treatment%Elderly%Diagnosis and treatment
目的：分析老年初治肺结核患者的临床特点，提高诊治水平。方法对116例老年初治肺结核患者临床资料回顾性分析。结果老年初治肺结核患者年龄高发于60～64岁，咳嗽占60.3%，PPD强阳性率为45.7%，痰涂片阳性率为51.7%，痰培养阴性率为56.7%，1个肺野病灶的痰菌阳性与阴性患者为11例、16例，2个/以上肺野病灶的痰菌阳性与阴性患者为49例、40例，肺部出现空洞在痰菌阳性与阴性患者为22例、20例，肺部无空洞在痰菌阳性与阴性患者为38例、36例，完成治疗及治愈者达77.6%。老年初治肺结核患者临床症状不典型，病灶分布与空洞的形成率在菌阳与菌阴的患者中无明显差异性，PPD强阳性率低，不重视痰培养，治愈加完成率低。结论重视老年初治肺结核患者诊治，耐心的宣教，提高老年患者依从性，可提高疗效，控制传染源。
目的：分析老年初治肺結覈患者的臨床特點，提高診治水平。方法對116例老年初治肺結覈患者臨床資料迴顧性分析。結果老年初治肺結覈患者年齡高髮于60～64歲，咳嗽佔60.3%，PPD彊暘性率為45.7%，痰塗片暘性率為51.7%，痰培養陰性率為56.7%，1箇肺野病竈的痰菌暘性與陰性患者為11例、16例，2箇/以上肺野病竈的痰菌暘性與陰性患者為49例、40例，肺部齣現空洞在痰菌暘性與陰性患者為22例、20例，肺部無空洞在痰菌暘性與陰性患者為38例、36例，完成治療及治愈者達77.6%。老年初治肺結覈患者臨床癥狀不典型，病竈分佈與空洞的形成率在菌暘與菌陰的患者中無明顯差異性，PPD彊暘性率低，不重視痰培養，治愈加完成率低。結論重視老年初治肺結覈患者診治，耐心的宣教，提高老年患者依從性，可提高療效，控製傳染源。
목적：분석노년초치폐결핵환자적림상특점，제고진치수평。방법대116례노년초치폐결핵환자림상자료회고성분석。결과노년초치폐결핵환자년령고발우60～64세，해수점60.3%，PPD강양성솔위45.7%，담도편양성솔위51.7%，담배양음성솔위56.7%，1개폐야병조적담균양성여음성환자위11례、16례，2개/이상폐야병조적담균양성여음성환자위49례、40례，폐부출현공동재담균양성여음성환자위22례、20례，폐부무공동재담균양성여음성환자위38례、36례，완성치료급치유자체77.6%。노년초치폐결핵환자림상증상불전형，병조분포여공동적형성솔재균양여균음적환자중무명현차이성，PPD강양성솔저，불중시담배양，치유가완성솔저。결론중시노년초치폐결핵환자진치，내심적선교，제고노년환자의종성，가제고료효，공제전염원。
Objective To analyze the clinical characteristics of initial treatment of tuberculosis for elderly patients,and improve the level of diagnosis and treatment. Methods Clinical data of 116 patients who received initial treatment of tuberculosis were analyzed retrospectively. Results The peak age of initial treatment of tuberculosis for elderly patients was 60-64 years.Coughing accounted for 60.3% of the total patients,high positive rate of PPD was 45.7%,positive rate and negative rate of sputum smear were 51.7%and 56.7%respectively.Positive and negative sputum smears were detected in 11 and 16 patients with 1 lung field lesion,and those were detected in 49 and 40 patients with 2 lung field lesions.Positive and negative sputum smears were detected in 22 and 20 patients with pulmonary cavity,and those were detected in 38 and 36 patients without pulmonary cavity.Completed treatments and cured patients accounted for 77.6% of the total.The clinical symptoms of elderly patients who received the initial treatment of tuberculosis were not typical,and the differences of lesion distribution and rate of cavity formation were not statistically significant in patients with positive and negative sputum smears.High positive rate of PPD was low,the results of sputum smears were not prioritized,and the cure rate and completion rate were low. Conclusion Prioritizing the initial diagnosis and treatment of tuberculosis for elderly patients,educating patiently and improving elderly patients'compliance all help enhance the curative effect and control the source of infection.
