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目的:探讨老年肺结核的治疗效果及影响因素。方法:选择2012年1月-2014年12月我院就诊的120例老年肺结核患者作为研究对象,记录全部患者的临床资料及基本情况,并对可能影响老年肺结核治疗效果的进行单因素分析及多因素Logistic回归分析。结果:1本研究中120例患者中,其中成功治愈90例,成功治愈率为75%;2单因素分析得出:患者的性别、结核接触史及初复诊情况对老年肺结核治疗效果无显著影响,比较差异均无统计学意义(P>0.05);患者的文化程度、家庭住址、临床症状、有无合并症、痰菌情况、2个月末痰菌检查结果及有无规律服药对老年肺结核治疗效果有显著影响,比较差异均有统计学意义(P<0.05);3经过单因素分析,将有显著差异性的影响因素筛选出来进行多因素Logistic回归分析,结果显示:其中2个月末痰检结果阴性提高肺结核治愈率的影响因素,而有合并症、耐药、文化程度低及临床症状≥3种则是降低老年肺结核治愈率的影响因素。结论:有无合并症、是否耐药、文化程度高低及临床症状情况与老年肺结核的预后密切相关,有规律的服药、积极进行治疗有助于提高老年肺结核患者的成功治愈率。
Objective: To investigate the therapeutic effect and influencing factors of senile pulmonary tuberculosis. Methods: From January 2012 to December 2014, 120 elderly patients with pulmonary tuberculosis admitted to our hospital were selected as the research objects. The clinical data and basic information of all the patients were recorded. Univariate analysis was conducted on the effects of the treatment on senile pulmonary tuberculosis and more Logistic regression analysis. RESULTS: Among the 120 patients in this study, 90 were successfully cured and the successful cure rate was 75%. 2 Univariate analysis showed that the gender, history of TB contact and initial follow-up did not significantly affect the efficacy of treatment for elderly patients with tuberculosis , There was no significant difference between the two groups (P> 0.05); The patient’s education, home address, clinical symptoms, with or without complications, sputum bacteria, sputum bacterium at the end of 2 months, (P <0.05) .3 After univariate analysis, significant influencing factors were screened out for multivariate logistic regression analysis. The results showed that the end of the two months of sputum examination Negative results improve the rate of tuberculosis cure factors, and there are complications, drug resistance, low education and clinical symptoms of ≥ 3 species is to reduce the impact of elderly tuberculosis cure rate. Conclusion: Whether there is comorbidity, drug resistance, educational level and clinical symptoms are closely related to the prognosis of elderly patients with tuberculosis. Regular medication and positive treatment can help to improve the success rate of the elderly patients with pulmonary tuberculosis.