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目的分析邯郸市老年肺结核的临床特点和防治措施。方法回顾性分析2005年6月—2008年6月该市结核病控制项目办公室登记的、已完成疗程的342例60岁以上涂片阳性老年肺结核病患者临床资料。结果342例老年涂阳肺结核病例中214例为老年期发病,占62.6%,60～69岁年龄组发病例数最多。342例中Ⅲ型249例,Ⅳ型93例,分别占总病例数的72.8%和27.2%;有空洞者142例,占总病例数的41.5%;双侧病变者多,占61.4%(210/342)。342例诊断延误率41.5%(142/342),有并发症者271例(79.2%)。结论进一步加强老年菌阳肺结核病的控制工作,可对结核病防治工作起到明显的促进作用。
Objective To analyze the clinical features and preventive measures of elderly pulmonary tuberculosis in Handan City. Methods A retrospective analysis of clinical data of 342 elderly patients with pulmonary tuberculosis over the age of 60 who were registered at the TB control project office of the city from June 2005 to June 2008 was completed. Results Among the 342 elderly patients with smear positive pulmonary tuberculosis, 214 cases were senile, accounting for 62.6%. The highest incidence was found in the 60 ~ 69 age group. Among 342 cases, there were 249 cases of type Ⅲ and 93 cases of type Ⅳ, accounting for 72.8% and 27.2% of the total number of cases respectively. 142 cases were empty, accounting for 41.5% of the total number of cases; 61.4% / 342). 342 cases had a diagnosis delay rate of 41.5% (142/342) and 271 cases (79.2%) had complications. Conclusion To further strengthen the control of senile pulmonary tuberculosis can play a significant role in promoting tuberculosis prevention and treatment.