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目的:分析老年慢性阻塞性肺疾病合并肺结核临床特点和治疗反应特点。方法:将本院2011年10月至2013年9月收治的42例老年慢性阻塞性肺疾病合并肺结核患者作为实验组,同期收治的58例单纯肺结核患者作为对照组。对比分析两组患者临床特点和治疗反应特点的差异性。结果:实验组患者纤维空洞型肺结核明显高于对照组,低热、乏力、盗汗等典型肺结核症状明显少于对照组,经卡方检验分析发现组间差异有统计学意义(P<0.05)。经抗结核药物治疗后实验组患者总有效率明显低于对照组,经卡方检验分析发现组间差异有统计学意义(P<0.05)。结论:老年慢性阻塞性肺疾病合并肺结核临床症状不典型,以纤维空洞型肺结核较多见,抗结核药物治疗效果较差,在今后的临床工作中应予以重视。
Objective: To analyze the clinical characteristics and treatment response characteristics of senile chronic obstructive pulmonary disease complicated with pulmonary tuberculosis. Methods: Forty-two patients with chronic obstructive pulmonary disease and pulmonary tuberculosis admitted to our hospital from October 2011 to September 2013 were selected as the experimental group and 58 patients with simple pulmonary tuberculosis treated at the same period as the control group. The differences between the clinical features and the response characteristics of the two groups were compared and analyzed. Results: Compared with the control group, the pulmonary tuberculosis in the experimental group was significantly higher than that in the control group. The symptoms of typical tuberculosis such as fever, fatigue and night sweats were significantly less than those in the control group. There was significant difference between the two groups (P <0.05) by chi-square test. The total effective rate of the experimental group after anti-TB drug treatment was significantly lower than that of the control group. The chi-square test showed that there was significant difference between the two groups (P <0.05). Conclusion: Clinical manifestations of chronic obstructive pulmonary disease in elderly patients with atypical pulmonary tuberculosis are common, and fibrous hollow tuberculosis is more common. The anti-TB drug treatment is less effective and should be paid more attention in the future clinical work.