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目的分析广西沿海沿边区域务工人员新发肺结核临床及影像学特征,为预防控制肺结核的流行与传播提供参考。方法选择2012年1月—2014年1月该院收治的80例患者为研究对象,其中40例务工新发肺结核为观察组,40例防城港常住人员新发肺结核为对照组,分析病历资料及治疗结果。结果观察组平均年龄(27.65±3.21)岁、文化程度(小学及以下2例,初中12例,高中25例,大学及以上1例)、失访率30.00%、治愈率为71.43%,对照组平均年龄为(54.36±6.12)岁,文化程度(小学及以下3例,初中15例,高中16例,大学及以上6例),失访率12.5%,治愈率为88.57%,两组数据比较差异有统计学意义(P<0.05);观察组患者Ⅲ型38例,痰菌阳性率为62.5%,复治病例8例,双侧肺受累25例,中下肺野病变30例,病变累及肺野数目2个及以上32例,对照组Ⅲ型32例,痰菌阳性率35.00%,复治病例2例,双侧肺受累17例,中下肺野病变22例,病变累及肺野数目2个及以上25例,两组数据比较差异有统计学意义(P<0.05)。结论外出务工人员新发肺结核表现为男性高于女性、多发于30岁以下、文化程度较低的流行病学特征,临床表现为Ⅲ型肺结核且复始病例多、治疗效果差等,影像学表现为病变分布广泛、病变累及数目多等特征。卫生行政部门应制定相应政策,以预防和控制务工人员肺结核病的流行。
Objective To analyze the clinical and imaging characteristics of newly diagnosed pulmonary tuberculosis among workers along the coast of Guangxi and provide references for the prevention and control of the spread and spread of pulmonary tuberculosis. Methods Eighty patients admitted from January 2012 to January 2014 in our hospital were selected as study objects. 40 cases of newly diagnosed pulmonary tuberculosis were treated as observation group and 40 cases of newly diagnosed pulmonary tuberculosis of resident resident of Fangchenggang as control group. Analysis of medical record data and treatment result. Results The average age of the observation group (27.65 ± 3.21) years old, education level (primary and below 2 cases, 12 cases of junior high school, 25 cases of high school and university and above), the rate of follow-up was 30.00% and the cure rate was 71.43% The average age was (54.36 ± 6.12) years old. The education level (primary and below 3 cases, junior middle school 15 cases, high school 16 cases, university and above 6 cases), the rate of follow-up was 12.5% and the cure rate was 88.57% The difference was statistically significant (P <0.05); the observation group of 38 patients with type Ⅲ, sputum bacteria positive rate was 62.5%, 8 cases of retreatment, bilateral lung involvement in 25 cases, 30 cases of mid and lower lung field lesions, lesions involving The number of lung field 2 and above 32 cases, the control group 32 cases of type Ⅲ, sputum bacteria positive rate 35.00%, 2 cases of re-treatment, bilateral lung involvement in 17 cases, 22 cases of middle and lower lung field lesions, lesions involving lung field number 2 and above 25 cases, the difference between the two groups was statistically significant (P <0.05). Conclusions The newly diagnosed pulmonary tuberculosis among migrant workers is more common in men than in women, with epidemiological features of lower educational attainment below 30 years old. The clinical manifestations are type Ⅲ pulmonary tuberculosis with more cases of initial relapse, poor treatment outcome, Extensive distribution of lesions, the number of lesions involved more features. Health administrative departments should formulate corresponding policies to prevent and control the epidemic of tuberculosis among workers.