| 摘要: |
| 为了提高对老年肺结核病的认识和诊治水平,选择广西田阳县疾病预防控制中心结防科门诊2002~2010年接治的816例老年肺结核(老年组)与随机抽取同期接治的350例20~39岁青年肺结核(青年组)患者,从年龄和性别、病程、临床症状、初治与复治情况、分型、痰菌情况与合并症、治疗与转归等方面进行对比分析。结果表明,两组男性患者明显高于女性;病程1个月和半年内确诊,老年组30.64%,青年组81%,两组间有显著性差异(P<0.01);临床症状,老年组多为3个以上,而青年组较少;初治与复治,老年组53.92%和46.08%,青年组80.86%和19.14%,两组间差异有显著性(P<0.01);慢性纤维空洞型肺结核,老年组(25.73%)比青年组(16.57%)高;组痰菌阳性率老年组(39.95%)比青年组(28.86%)高,合并症老年组(58.82%)比青年组(16%)多;治愈率与好转率,老年组(75.74%,11.76%)均低于青年组(88.86%,3.43%)。老年肺结核已经成为社会上重要的传染源。 |
| 关键词: 肺结核 临床特征 老年人 青少年 |
| DOI： |
| 投稿时间：2012-02-16修订日期：2012-03-13 |
| 基金项目: |
|
| Comparison of Clinical Features between Senile and Young Pulmonary Tuberculosis |
|
QIN Hong-qiang
|
| (Center for Disease Control and Prevention, Tianyang, Guangxi, 533600, China) |
| Abstract: |
| In order to understand senile pulmonary tuberculosis (PTB) and increase diagnostic and treating efficiency, clinical features of 816 senile PTB patients and 350 young PTB patients from our out patient department from 2002 to 2010 were compared.The comparison included age, sex, disease course, clinical symptoms, first or second treated, PTB classification, sputum positivity, complications, treatment and outcomes.The results showed that the number of male patients is greater than that of female patients in both groups.Among patients, who is treated with short course (≤ one month) and are confirmatively diagnosed within six month, there is significantly difference between elder (30.64%) and young group (81%).Senile PTB patients usually have more than three symptoms while young patients' symptoms are fewer and typical.The proportion of first and second treated is 53.92% and 46.08% in senile PTB group; 80.86% and 19.14% in young PTB group.Elder group is higher than young group in rate of chronic fibrotic cavity formation (25.73% vs.16.57%), sputum positive (39.95% vs.28.86%) and complications (58.82% vs.16%).However, elder group is lower than young group in cure rate (75.74% vs.88.86%) and recovery rate (11.76% vs.3.43%).Therefore, senile PTB is an important source of infection. |
| Key words: pulmonary tuberculosis clinical features elderly adolescent |
