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目的探讨慢性阻塞性肺疾病合并肺结核的临床观察。方法选取我院2011年2月至2016年2月108例老年慢性阻塞性肺疾病合并肺结核患者的临床资料进行回顾性分析,随机分为对照组和治疗组两组,每组各54例。对照组予以常规治疗,治疗组在常规治疗基础上加以左氧氟沙星、利福平联合治疗,比较两组患者的临床治疗效果。结果对照组总有效率为74.2%,治疗组为95.2%,组间比较差异有统计学意义(P<0.05),对照组患者的躯体功能、心理功能、社会功能、物质生活评分均低于治疗组,差异有统计学意义(P<0.05)。结论在常规治疗基础上应用左氧氟沙星联合利福平治疗老年慢性阻塞性肺疾病合并肺结核,治疗效果显著,提高了患者的生活质量,值得临床推广应用。
Objective To investigate the clinical observation of chronic obstructive pulmonary disease complicated with pulmonary tuberculosis. Methods The clinical data of 108 elderly patients with chronic obstructive pulmonary disease complicated with pulmonary tuberculosis from February 2011 to February 2016 in our hospital were retrospectively analyzed. They were randomly divided into control group and treatment group, 54 cases in each group. The control group was given routine treatment. The treatment group was treated with levofloxacin and rifampicin on the basis of conventional treatment, and the clinical effects of the two groups were compared. Results The total effective rate was 74.2% in the control group and 95.2% in the treatment group, with significant difference between the two groups (P <0.05). The physical, psychological, social and physical scores of the control group were lower than those of the treatment group Group, the difference was statistically significant (P <0.05). Conclusion Levofloxacin combined with rifampicin on the basis of conventional treatment of senile chronic obstructive pulmonary disease with pulmonary tuberculosis, the treatment effect is significant, improve the quality of life of patients, deserved clinical application.