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目的研究探讨老年肺结核患者的临床特点,以此为治疗不同年龄段肺结核患者提供更多的理论参考依据。方法选取2010-2013年期间来我中心治疗的60岁以上老年肺结核患者402例以及青年肺结核患者400例,通过对比分析,研究老年肺结核患者的就诊延迟、X线表现、服药依从性以及痰菌耐药情况等临床特点。结果通过对比,在就诊延迟方面,老年组占36.07%,青年组占18.75%,在患者病变有3个肺野以上方面,老年组占57.21%,青年组占32.50%,老年组有空洞占52.23%,青年组有空洞占33.75%,老年组明显高于青年组,两组差异显著具有统计学意义(P<0.05);在不规则服药方面,老年组占65.17%,青年组占38.75%,老年组明显高于青年组,两组差异显著具有统计学意义(P<0.05)。结论老年肺结核患者具有较高的耐药率、严重的病情、较低的服药依从性以及严重的就诊延迟率等,在防治结核病方面需要重点关注老年人群。
Objective To study the clinical features of elderly patients with pulmonary tuberculosis and to provide more theoretical reference for the treatment of patients with pulmonary tuberculosis of different ages. Methods The data of 402 elderly patients with pulmonary tuberculosis over the age of 60 years and 400 young pulmonary tuberculosis patients who were treated in our center from 2010 to 2013 were selected. The comparative analysis was conducted to investigate the treatment delay, X-ray manifestations, medication compliance and sputum bacterial resistance in elderly patients with pulmonary tuberculosis Drugs and other clinical features. Results Compared with the control group, the older group accounted for 36.07%, the young group accounted for 18.75%, the third group had more than three lung fields, the elderly group accounted for 57.21%, the young group accounted for 32.50%, the elderly group accounted for 52.23% % In the young group, 33.75% in the young group, the older group was significantly higher than the young group, the difference between the two groups was statistically significant (P <0.05); irregular medication, the elderly group accounted for 65.17%, young group accounted for 38.75% The elderly group was significantly higher than the young group, the difference between the two groups was statistically significant (P <0.05). Conclusion Elderly patients with pulmonary tuberculosis have a higher rate of drug resistance, severe illness, lower medication compliance and serious delayed treatment, so they need to pay more attention to the elderly in the prevention and treatment of tuberculosis.