论文部分内容阅读
目的 探讨老年初治肺结核诊治和管理措施。方法 对老年肺结核与青年肺结核进行比较分析。结果 (1)老年肺结核比青年肺结核咯血、乏力、盗汗明显少 ;(2 )结核菌素试验阴性高 ,但两组痰结核菌阳性率差异不明显 (p>0 .0 5 )。(3)前者病灶≥3肺野者明显多 ,而空洞病变两组差异不显著 (p>0 .0 5 )。 (4) I组中三药、四药联合化疗近期 X线好转率、痰菌阴转率也差异不明显 (p>0 .0 5 )。结论 对老年肺结核治疗应选用个体化方案 ,三化方案仍是可取的。同时应重视合并症的治疗及加强管理
Objective To investigate the diagnosis and management of tuberculosis in old people and the management measures. Methods A comparative analysis of elderly pulmonary tuberculosis and young tuberculosis. Results (1) Elderly pulmonary tuberculosis was significantly less than young pulmonary tuberculosis with hemoptysis, fatigue and night sweats. (2) The tuberculin test was negative, but there was no significant difference between the two groups (p> 0.05). (3) The former lesions ≥ 3 lung field were significantly more, while the difference between the two groups of cave lesions was not significant (p> 0.05). (4) In group I, the improvement rate of X-ray and the sputum negative conversion rate of three drugs and four drugs combined chemotherapy were also not significantly different (p> 0.05). Conclusion Individualized regimens should be selected for the treatment of senile pulmonary tuberculosis. The three regimens are still desirable. Should pay attention to the treatment of complications and strengthen management