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目的 :探讨老年肺结核的临床特点及老年肺结核患病率上升的原因。方法 :选择 1986～ 1998年在我院住院的全部 6 0岁以上老年肺结核 (老年组 ) 2 90例及同期住院的青年肺结核 (青年组 ) 10 0例 ,从肺结核类型、并发症、疗效、预后等方面进行对比分析。结果 :老年组男性占 73 % ,女性占 2 7%。慢性空洞型肺结核老年组占 33 1% ,青年组占 6 % ;有合并症者 ,老年组占 70 3 % ,青年组占 2 4 0 % ,两组比较 ,差异有显著意义(均P <0 0 0 5 )。疗效观察 ,老年组无效占 7 6 % ,病死率为 5 8% ;青年组除 1例死亡外 ,全部有效 ,两组疗效比较差异有显著意义 (P <0 0 1)。结论 :老年肺结核男性多于女性 ,慢性纤维空洞型肺结核比年青人为高 ,合并症及并发症的种类多 ,疗效差 ,病死率高
Objective: To investigate the clinical features of elderly patients with pulmonary tuberculosis and the reasons for the rising prevalence of tuberculosis in the elderly. Methods: A total of 290 hospitalized elderly patients aged 60 years or older in our hospital from 1986 to 1998 were enrolled. One hundred and ten young pulmonary tuberculosis patients (youth group) hospitalized in the same period were enrolled in this study. The types, complications, curative effects, prognosis And other aspects of comparative analysis. Results: The elderly group accounted for 73% of men, women 27%. Chronic cavity-type pulmonary tuberculosis accounted for 33.1% in the elderly group and 6% in the young group. In the group with complications, 70.3% in the elderly group and 240% in the youth group were significantly different (both P <0 0 0 5). Efficacy of the observation, the elderly group accounted for 76% of the ineffective, the mortality rate was 58%; young group except one case of death, all effective, the difference between the two groups was significant (P <0.01). Conclusion: There are more elderly men and women than those of women with chronic pulmonary tuberculosis. Compared with young people, chronic fibrous hollow tuberculosis is more common, with more complications and complications, with poor curative effect and high mortality