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资料及方法本文分析对象为二道河子区结核防治所1985～1990年掌握的626例病人中,年龄在60周岁及以上者,符合初治条件(1978年柳州会议标准)的肺结核28例(老年组),占总例数的4.5％,其中男性19例,女性9例,年龄最大者74岁。与同期50例青年初治肺结核对比,两组在症状频率、病灶好发部位、肺结核类型、病变范围及痰菌阳性率方面基本相近。唯老年组中7例有合并症,计早期慢性肺心病1例。慢性支气管炎合并梗阻肺气肿2例,慢性支气管炎4例。两组皆采用吉林省统一化疗方案,以利福平为主药,痰菌阳性者用2—3S. R. H/7—6R. H(注)、2S. RH. Z/4R. H,痰菌阴性者用2S. R. H/4R. H·2H. R. Z/4R. H、6HE(Ⅰ型)。采用家庭监督用药,家庭成员
Materials and Methods In this paper, we analyzed tuberculosis of tuberculosis in Erdaohe sub-district from 1985 to 1990. Of the 626 patients aged 60 and above, 28 cases of tuberculosis (Liuzhou Conference standard in 1978) Elderly group), accounting for 4.5% of the total number of cases, including 19 males and 9 females, the oldest 74-year-old. Compared with 50 cases of newly diagnosed pulmonary tuberculosis in the same period, the two groups were basically similar in terms of the frequency of symptoms, the incidence of lesions, the type of pulmonary tuberculosis, the extent of the disease and the positive rate of sputum. Only the elderly group of 7 cases of comorbidities, early chronic pulmonary heart disease in 1 case. Chronic bronchitis complicated with obstructive pulmonary emphysema in 2 cases, 4 cases of chronic bronchitis. Both groups are using the unified chemotherapy in Jilin Province, rifampicin-based drugs, sputum positive with 2-3S. R. H / 7-6R. H (Note), 2S. RH. Z / 4R. H, Sputum negative with 2S R. H / 4R H 2 2H R. Z / 4R H, 6HE (type I). Family supervision medication, family members