CAJ | 학술논문

目的：回顾性分析老年肺结核病患者与青壮年患者在症状、体征和影像学检查、病情转归方面的差异，探讨老年肺结核病患者的临床特点及治疗策略。方法选取确诊为肺结核的老年患者（年龄≥60岁）185例，与该院同期确诊的青壮年患者219例进行比较，分析老年肺结核患者临床特点。结果老年组患者咯血、胸痛、体质量减轻的发生率低于青壮年组，而无症状患者比率明显高于青壮年组，差异有统计学意义（P<0.05）；老年组患者病灶广泛，双侧肺受累明显高于青壮年组，差异有统计学意义（χ2=6.251，P<0.05）；老年组痰菌阳性率明显高于青壮年组，差异有统计学意义（χ2=6.251，P<0.05）；2组患者病情好转率比较，差异有统计学意义（P<0.05）。结论与青壮年患者相比，老年患者临床症状不典型，病灶分布更广泛，痰菌阳性率高，针对老年结核病自身特点，应予以重视。
목적：회고성분석노년폐결핵병환자여청장년환자재증상、체정화영상학검사、병정전귀방면적차이，탐토노년폐결핵병환자적림상특점급치료책략。방법선취학진위폐결핵적노년환자（년령≥60세）185례，여해원동기학진적청장년환자219례진행비교，분석노년폐결핵환자림상특점。결과노년조환자각혈、흉통、체질량감경적발생솔저우청장년조，이무증상환자비솔명현고우청장년조，차이유통계학의의（P<0.05）；노년조환자병조엄범，쌍측폐수루명현고우청장년조，차이유통계학의의（χ2=6.251，P<0.05）；노년조담균양성솔명현고우청장년조，차이유통계학의의（χ2=6.251，P<0.05）；2조환자병정호전솔비교，차이유통계학의의（P<0.05）。결론여청장년환자상비，노년환자림상증상불전형，병조분포경엄범，담균양성솔고，침대노년결핵병자신특점，응여이중시。
Objective To explore the clinical characteristics and treatment strategies of tuberculosis for elderly patients.Methods Collecting 185 cases of elderly patients Compared with the dults patients diagnosed with the same period the hospital, analyzing clinical data elderly tuberculosis patients retrospectively.Results Elderly group of patients with symptoms of haemoptysis, chest pain, weight loss were signifi cantly lower than the non elderly group, the rate of asymptomatic patients was signifi cantly higher than the non elderly group. Elderly group patients lesions is widespread, bilateral lung involvement are signifi cantly higher than the non elderly group (χ2=6.251,P<6.251). The sputum bacteria positive rate of elderly group patients is signifi cantly higher than non elderly group (χ2=6.251,P<0.05); No difference between the two groups of treatment effect.Conclusion Compared with non elderly patients, elderly patients with atypical clinical symptoms, more extensive lesions, higher sputum positive rate, according to the characteristics of the elderly tuberculosis itself, attaching importance to it, strengthening the elderly tuberculosis research, improving the effect of diagnosis and treatment and stopping the popularity of TB.