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目的了解在结核病门诊就诊的老年结核病人的来源及发病等情况,为结核病防治提供决策依据。方法对长丰县2002~2006年结核病门诊1 513例老年结核病例进行统计分析。结果长丰县在结核病门诊发现的老年结核病例占结核病例总数的43.55%,呈逐年递升趋势。以继发性肺结核为主,占98.55%。病人来源以转诊最多,占57.89%。57.77%的病人无既往结核病史。病人的发病症状以咳嗽、咳痰≥3周为最多,痰涂片阳性者52.61%。病灶分布范围广,平均2.52个肺野发现有活动性病灶,两上肺野病灶占64.97%~83.74%,伴有空洞病灶者占9.83%。结论长丰县老年结核病发病率高,病灶范围广,传染性强。需要进一步加强结核病防治的宣传力度,采取积极有效的措施防治老年结核病,以提高控制结核病疫情的水平。
Objective To understand the source and incidence of elderly tuberculosis patients attending TB clinics and provide a basis for decision-making on tuberculosis prevention and treatment. Methods A total of 1 513 elderly TB cases in TB clinics in Changfeng County from 2002 to 2006 were analyzed statistically. Results The number of elderly TB cases found in TB clinics in Changfeng County accounted for 43.55% of the total number of TB cases, showing an increasing trend year by year. The main secondary tuberculosis, accounting for 98.55%. The source of the most referral patients, accounting for 57.89%. 57.77% of patients had no previous history of tuberculosis. The incidence of patients with cough, sputum ≥ 3 weeks for the most, smear-positive 52.61%. A wide range of distribution of lesions, an average of 2.52 lung fields found active lesions, two lung field lesions accounted for 64.97% ~ 83.74%, with empty lesions accounted for 9.83%. Conclusion The incidence of senile tuberculosis in Changfeng County is high, with a wide range of lesions and strong contagiousness. There is a need to further strengthen publicity on tuberculosis prevention and control and take active and effective measures to prevent and treat elder tuberculosis in order to raise the level of control of the tuberculosis epidemic.