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目的探讨老年结核性胸膜炎的临床治疗方法及效果。方法选取焦煤集团中央医院2011年8月至2013年6月收治的45例结核性胸膜炎老年患者作为观察组,选取同期在该院治疗的45例60岁以下成年结核性胸膜炎患者作为对照组,均给予抽取胸水、抗结核及激素治疗,比较两组患者临床治疗效果、血性胸水、结核抗体阳性比例及不良反应发生情况。结果观察组治愈率明显低于对照组,胸水吸收时间明显长于对照组,不良反应发生率明显高于对照组,差异均有统计学意义(P均<0.05)。结论老年结核性胸膜炎患者临床表现明显多于青年患者,常伴随并发症,疾病康复效果相对较差,因此临床治疗时要详细掌握其临床特点并给予及时有效治疗。
Objective To explore the clinical treatment of elderly patients with tuberculous pleurisy and its effects. Methods 45 elderly patients with tuberculous pleurisy admitted from August 2011 to June 2013 in Central Hospital of Coking Coal were selected as the observation group and 45 patients with tuberculous pleurisy below 60 years old treated in the same hospital were selected as the control group Give pleural effusion, anti-tuberculosis and hormone therapy, the clinical efficacy of the two groups were compared, the incidence of bloody pleural effusion, tuberculosis antibody positive and adverse reactions. Results The cure rate of the observation group was significantly lower than that of the control group, the time of pleural effusion absorption was significantly longer than that of the control group, and the incidence of adverse reactions was significantly higher than that of the control group (all P <0.05). Conclusion The clinical manifestations of elderly patients with tuberculous pleurisy are significantly more than those of young patients, often accompanied by complications, the effect of disease rehabilitation is relatively poor, so the clinical treatment of its clinical features to be detailed and timely and effective treatment.