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目的研究吸烟在肺结核患者康复过程中的影响。方法选取2004年1月—2014年12月在该疾控中心进行治疗的痰菌阳性肺结核患者200例,其中吸烟者和不吸烟者各100例,将之分别设为研究组和对照组。结果患者治疗完成后,两组共有158例患者痰菌阴转,痰菌阴转率为79.00%,并且患者的吸烟量与痰菌阴转率呈负相关关系,同时还会使患者的咳嗽症状,并使患者的治疗时间、康复时间都会明显增加,两组数据差异有统计学意义(P<0.05)。结论吸烟患者的咳嗽症状明显比对照组不吸烟患者要高,吸烟的肺结核患者具有更高的结核菌感染性。吸烟与结核病的产生也存在这密切的关系,肺结核的主要发病入群就是长期吸烟的人。另外,吸烟会对患者的临床疗效造成影响,导致患者的治疗时间、康复时间都会增加。所以,在临床中必须对肺结核患者的吸烟情况更为关注,尽量对患者的吸烟行为进行劝阻,减少吸烟对肺结核治疗的影响。
Objective To study the effect of smoking on the rehabilitation of patients with pulmonary tuberculosis. Methods 200 cases of sputum positive pulmonary tuberculosis patients who were treated in this CDC from January 2004 to December 2014 were selected, including 100 smokers and 100 smokers, which were divided into study group and control group respectively. Results After the completion of treatment, a total of 158 patients in both groups sputum negative conversion, sputum negative conversion rate was 79.00%, and the patient’s smoking and sputum negative conversion rate was negatively correlated, but also make the patient’s cough , And the treatment time and recovery time of patients will be significantly increased, the difference between the two groups was statistically significant (P <0.05). Conclusion The symptoms of cough in smokers were significantly higher than those in non-smokers in smokers, and tuberculosis in smokers had higher TB infection. Smoking and tuberculosis are also closely related to the occurrence of tuberculosis is the main incidence of long-term smokers. In addition, smoking will affect the clinical efficacy of patients, resulting in the patient’s treatment time, rehabilitation time will increase. Therefore, we must pay more attention to the smoking situation of tuberculosis patients in clinical practice, try our best to discourage the smoking behaviors of patients and reduce the influence of smoking on the treatment of tuberculosis.