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目的分析老年肺结核的临床特点。方法回顾性研究100例老年肺结核患者(老年组)的临床资料,并与同期100例青中年患者(青中年组)比较,分析其临床特点。结果老年组肺结核患者的临床症状较青中年组严重(P<0.05),且并发空洞情况比例较高(P<0.05)。且老年患者的痰菌耐药性要明显高于青中年。结论老年肺结核患者的治疗难度高,耐药性强,并发症多,在治疗过程中要加强有针对性的抗结核方案的制定。
Objective To analyze the clinical features of elderly pulmonary tuberculosis. Methods The clinical data of 100 elderly pulmonary tuberculosis patients (elderly group) were retrospectively studied. The clinical features were compared with 100 young and middle-aged patients (Qingzhongnian group) in the same period. Results The clinical symptoms of elderly patients with tuberculosis were more serious than those of young middle age group (P <0.05), and the proportion of concurrent cavity was higher (P <0.05). And sputum bacterial resistance in elderly patients should be significantly higher than the young middle-aged. Conclusion Elderly patients with pulmonary tuberculosis are more difficult to treat, more resistant and have more complications. Therefore, it is necessary to strengthen the formulation of targeted anti-TB regimens in the course of treatment.