医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2014年
17期
2244-2245,2247
,共3页
老年肺结核%治疗效果%影响因素
老年肺結覈%治療效果%影響因素
노년폐결핵%치료효과%영향인소
Senile pulmonary tuberculosis%Treatment effect%Influencing factors
目的：探讨老年肺结核患者治疗效果及影响治疗的因素分析，为结核病的防治提供依据。方法：选取我院2008年6月-2013年6月期间60岁以上的患者960例为研究对象，分别搜集治疗成功的和不成功患者的基本特征和诊疗情况，对可能影响治疗结局的相关因素进行单因素χ2检验和多因素Logistic回归分析。结果：960例患者中治愈720例，治愈率达到75％。经单因素分析显示，住址、职业、文化程度、有无合并症等与治疗结局有关；经多因素回归分析显示，农村人口、文化程度低、缺乏督导、治疗依从性和对抗结核药物耐药等因素可使涂阳肺结核患者的治疗不成功风险显著增高。结论：老年肺结核的治疗需要及时参加，提高治疗的依从性，有效的定期随访、合理的搭配用药以及有效的督导，有助于提高老年肺结核患者的治愈率。
目的：探討老年肺結覈患者治療效果及影響治療的因素分析，為結覈病的防治提供依據。方法：選取我院2008年6月-2013年6月期間60歲以上的患者960例為研究對象，分彆搜集治療成功的和不成功患者的基本特徵和診療情況，對可能影響治療結跼的相關因素進行單因素χ2檢驗和多因素Logistic迴歸分析。結果：960例患者中治愈720例，治愈率達到75％。經單因素分析顯示，住阯、職業、文化程度、有無閤併癥等與治療結跼有關；經多因素迴歸分析顯示，農村人口、文化程度低、缺乏督導、治療依從性和對抗結覈藥物耐藥等因素可使塗暘肺結覈患者的治療不成功風險顯著增高。結論：老年肺結覈的治療需要及時參加，提高治療的依從性，有效的定期隨訪、閤理的搭配用藥以及有效的督導，有助于提高老年肺結覈患者的治愈率。
목적：탐토노년폐결핵환자치료효과급영향치료적인소분석，위결핵병적방치제공의거。방법：선취아원2008년6월-2013년6월기간60세이상적환자960례위연구대상，분별수집치료성공적화불성공환자적기본특정화진료정황，대가능영향치료결국적상관인소진행단인소χ2검험화다인소Logistic회귀분석。결과：960례환자중치유720례，치유솔체도75％。경단인소분석현시，주지、직업、문화정도、유무합병증등여치료결국유관；경다인소회귀분석현시，농촌인구、문화정도저、결핍독도、치료의종성화대항결핵약물내약등인소가사도양폐결핵환자적치료불성공풍험현저증고。결론：노년폐결핵적치료수요급시삼가，제고치료적의종성，유효적정기수방、합리적탑배용약이급유효적독도，유조우제고노년폐결핵환자적치유솔。
Objective :To investigate the treatment of senile pulmonary tuberculosis patients and the influence factors of the effect of treatment ,and provide a basis for the prevention and treatment of tuberculosis .Methods :Patients in our hospital from 2008 June to 2013 June during the 60 years old in 960 cases as the research object ,collected respectively for successful and unsuccessful basic features and diagnosis and treatment of patients ,the relevant factors which may affect the treatment outcome of Logistic univariate χ2 test and multiple regression analysis .Results:720 cases were cured in 960 patients ,the cure rate reached 75% .The single factor analysis showed that ,address ,occupation ,cultural degree ,with no complications related to treatment outcome ;multivariate regression analysis showed ,the rural popula-tion ,low educational level ,lack of supervision ,treatment compliance and anti tuberculosis drug resistance and other factors can make the treatment of smear positive pulmonary tuberculosis patients was significantly increased the risk of failed .Conclusion:The treatment of senile pulmonary tuberculosis need in time ,improve treatment compliance ,effective follow-up ,reasonable with medicine and effective supervision ,help to improve the cure rate of elderly patients with pul-monary tuberculosis .
