CAJ | 학술논문

目的?探讨血清抗结核抗体在老年肺结核中的应用价值,为老年肺结核的诊断提供临床依据.方法?100例肺结核患者根据年龄分为年龄≥65岁以上老年组患者和年龄在≤30岁的青年组患者各50例,比较两组临床症状及血清抗结核抗体,涂片,PPD试验结果.结果?青年组有发热和咳血等临床表现的比例明显高于老年组,而老年组患者咳嗽咳痰的比例明显高于青年组,差异具有明显的统计学意义(P<0.05),老年组肺结核患者结核抗体阳性率为85.00%明显高于涂片和PPD的阳性率,差异有显著的统计学意义(P<0.01).结论?老年肺结核患者临床症状不典型,结核抗体在老年肺结核患者中阳性率较高,对于老年肺结核的诊断具有重要的应用价值.
목적?탐토혈청항결핵항체재노년폐결핵중적응용개치,위노년폐결핵적진단제공림상의거.방법?100례폐결핵환자근거년령분위년령≥65세이상노년조환자화년령재≤30세적청년조환자각50례,비교량조림상증상급혈청항결핵항체,도편,PPD시험결과.결과?청년조유발열화해혈등림상표현적비례명현고우노년조,이노년조환자해수해담적비례명현고우청년조,차이구유명현적통계학의의(P<0.05),노년조폐결핵환자결핵항체양성솔위85.00%명현고우도편화PPD적양성솔,차이유현저적통계학의의(P<0.01).결론?노년폐결핵환자림상증상불전형,결핵항체재노년폐결핵환자중양성솔교고,대우노년폐결핵적진단구유중요적응용개치.
Objective?To?investigate?the?serum?anti?tuberculosis?antibody?for?application?value?of?tuberculosis?in?elderly?patients,?For?the?diagnosis?of?senile?pulmonary?tuberculosis?to?provide?clinical?basis.?Methods?100?cases?of?patients?with?pulmonary?tuberculosis?according?to?the?age?is?divided?into?age≥65years?elderly?patients?and?the?aged≤30?years?young?group?of?patients50?cases?each,?were?compared?between?the?two?groups?of?clinical?symptoms?and?serum?anti?tuberculosis?antibody,?smear,?PPD?test?results.Results?The?youth?group?with?fever?and?hemoptysis?clinical?manifestations?such?as?ratio?were?higher in the older age group, while the elderly group of patients with cough and sputum was significantly higher than the young group, the difference is significant(P<0.05), the older group of patients with pulmonary tuberculosis TB antibody positive rate was 85%and PPD was significantly higher than that of smear positive rate, difference there was a statistically significant difference(P<0.01).?Conclusion?The?elderly?pulmonary?tuberculosis?patients?with?atypical?clinical?symptoms,?tuberculosis?antibody?in?elderly?patients?with?pulmonary?tuberculosis?in?the?higher?positive?rate,?for?senile?pulmonary?tuberculosis?diagnosis?has?important?application?value.