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目的观察老年慢性阻塞性肺疾病(COPD)合并肺结核感染患者临床治疗的X线胸片变化。方法将100例老年COPD合并肺结核感染患者随机分为观察组和对照组各50例。对照组采用常规COPD治疗,给予抗生素抗感染、解痉平喘、祛痰、吸氧及对症支持治疗。观察组在对照组治疗的基础上,加用正规抗结核治疗。比较2组治疗后的X线胸片变化。结果观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。结论老年COPD合并肺结核感染患者应尽早明确诊断,采取综合性治疗措施,提高治疗效果。
Objective To observe the changes of X-ray films in elderly patients with chronic obstructive pulmonary disease (COPD) complicated with pulmonary tuberculosis infection. Methods A total of 100 elderly COPD patients with pulmonary tuberculosis infection were randomly divided into observation group and control group, 50 cases each. The control group was treated with conventional COPD, giving antibiotics anti-infection, antispasmodic and antiasthmatic, expectorant, oxygen and symptomatic and supportive treatment. Observation group in the control group based on the treatment, plus regular anti-TB treatment. The changes of X-ray in two groups after treatment were compared. Results The observation group was better than the control group, the difference was statistically significant (P <0.05). Conclusion Elderly COPD patients with pulmonary tuberculosis should be diagnosed as soon as possible to take comprehensive treatment measures to improve the treatment effect.