CAJ | 학술논문

目的：了解HIV合并肺结核患者中CD4、HIV-RNA对肺部肿大淋巴结的区域、个数、肿大程度上的影响。方法通过回顾性的方式对162名HIV合并肺结核的肺部影像学资料、CD4、HIV-RNA浓度进行数据相关性分析。并且以CD4、HIV-RNA浓度为基准，将患者分为CD4正常组和低下组，HIV-RNA正常组和升高组。探求其不同浓度与肺部结核病灶及肿大淋巴结的区域、淋巴结的个数、淋巴结肿大程度、结核病类型的关系。结果研究完成时我们发现治疗CD4低下组肺部肿大淋巴结的区域、淋巴结的个数、肿大程度均大于CD4正常组，而存在明显差异。HIV-RNA升高组肺部肿大淋巴结的区域、淋巴结的个数、肿大程度均大于正常组，而存在明显差异。肺结核性质与肺部病灶部位患者CD4、HIV-RNA浓度无统计学差异。结论 CD4浓度越低或HIV-RNA浓度越高，淋巴结肿大的区域、淋巴结的个数、肿大程度越严重，但结核病灶部位与结核病发病的类型无关。
목적：료해HIV합병폐결핵환자중CD4、HIV-RNA대폐부종대림파결적구역、개수、종대정도상적영향。방법통과회고성적방식대162명HIV합병폐결핵적폐부영상학자료、CD4、HIV-RNA농도진행수거상관성분석。병차이CD4、HIV-RNA농도위기준，장환자분위CD4정상조화저하조，HIV-RNA정상조화승고조。탐구기불동농도여폐부결핵병조급종대림파결적구역、림파결적개수、림파결종대정도、결핵병류형적관계。결과연구완성시아문발현치료CD4저하조폐부종대림파결적구역、림파결적개수、종대정도균대우CD4정상조，이존재명현차이。HIV-RNA승고조폐부종대림파결적구역、림파결적개수、종대정도균대우정상조，이존재명현차이。폐결핵성질여폐부병조부위환자CD4、HIV-RNA농도무통계학차이。결론 CD4농도월저혹HIV-RNA농도월고，림파결종대적구역、림파결적개수、종대정도월엄중，단결핵병조부위여결핵병발병적류형무관。
Objective:To understand HIV merger pulmonary tuberculosis in patients with CD4,HIV-RNA area of enlarged lymph nodes,the number to the lungs,sweling degree of influence.Methods:By means of retrospective the lung imaging data of 162 HIV amalgamative tuberculosis,CD4,HIV-RNA concentration data correlation analysis. And CD4,HIV-RNA concentration as the benchmark,divided the patients into low CD4 group and normal group and normal group and increased HIV-RNA.To explore the different concentration and lung area of enlarged lymph nodes,the number of lymph nodes,the relationship between extent of lymph node enlargement,the types of TB.Results:Research is finished we found that the treatment of low CD4 group lung area of enlarged lymph nodes,the number of lymph nodes,sweling degree were greater than normal group,CD4 and obvious differences.Tuberculosis (TB) type with CD4,HIV patient - RNA concentration is no statistical difference.Conclusion:The lower CD4 concentration or HIV-the higher the concentration of RNA,area of lung lymph node enlargement,the more the number of lymph nodes, sweling, but has nothing to do with the type of the disease.