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目的:分析肺结核患者转归的影响因素、病情进展及预防措施。方法:选取我院2014年5月至2016年5月收治的肺结核患者260例,对其性别、年龄、临床症状等病历资料及其对转归的影响进行观察和分析。结果:260例患者中,治愈190例,治愈率为73.1%,其中女性、临床症状≤3种、肺部病灶无空洞、全程督导患者的治愈率均分别显著高于男性、临床症状>3种、肺部病灶有空洞、其他管理方式患者(P<0.05);多因素Logistic回归分析结果表明,肺结核患者转归的影响因素包括治疗初发热、乏力、痰菌阳性、治疗2月末、3月末、5月末痰菌阳性、肺部病灶空洞、管理方式(P<0.05)。结论:肺结核患者转归的影响因素包括治疗初发热、乏力、痰菌阳性、治疗2月末、3月末、5月末痰菌阳性、肺部病灶空洞、管理方式,临床应采取有针对性的预防措施最大限度地提高患者的治愈率。
Objective: To analyze the influencing factors, prognosis and preventive measures of patients with pulmonary tuberculosis. Methods: A total of 260 pulmonary tuberculosis patients admitted from May 2014 to May 2016 in our hospital were selected and their medical records, such as gender, age, clinical symptoms and their impact on outcome were observed and analyzed. Results: Among the 260 patients, 190 cases were cured and the cure rate was 73.1%. Among them, the clinical symptoms were less than 3 in females. There were no empty lesions in the lungs. The cure rates of patients in the whole supervision were significantly higher than those in males and the clinical symptoms were> 3 (P <0.05). The results of multivariate Logistic regression analysis showed that the influencing factors in the prognosis of patients with pulmonary tuberculosis included initial fever, weakness, positive sputum bacterium, treatment at the end of 2, end of March, The end of 5 sputum positive sputum, lung lesions, management (P <0.05). Conclusion: The influencing factors in the prognosis of patients with tuberculosis include initial fever, fatigue, positive sputum bacterium, positive sputum bacterium at the end of 2, 3, and 5 months after the treatment, emphysema of pulmonary lesion and management mode, and targeted preventive measures should be taken in clinic Maximize patient cure rates.