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目的:分析老年慢性阻塞性肺疾病合并肺结核的临床特点及诊疗体会。方法:回顾性分析60例慢性阻塞性肺疾病合并肺结核患者的临床资料,将其作为观察组,另选择同期60例单纯肺结核患者为对照组,比较两组的临床症状及治疗效果。结果:观察组的咯血、胸痛及消瘦等症状发生比例显著高于对照组(P<0.05),而两组的咳嗽咳痰发生比例差异无显著性(P>0.05)。观察组的临床总有效率为88.33%,对照组临床总有效率为98.33%,观察组总有效率显著低于对照组(P<0.05)。结论:慢性阻塞性肺疾病合并肺结核患者咯血、胸痛、消瘦等症状比较常见,且治疗难度大于单纯肺结核患者。临床诊断中要注意鉴别,以免发生误诊、漏诊。
Objective: To analyze the clinical features, diagnosis and treatment of elderly patients with chronic obstructive pulmonary disease complicated with pulmonary tuberculosis. Methods: The clinical data of 60 patients with chronic obstructive pulmonary disease complicated with pulmonary tuberculosis were retrospectively analyzed. Sixty patients with simple pulmonary tuberculosis in the same period were selected as the control group. The clinical symptoms and treatment effects were compared between the two groups. Results: The incidences of hemoptysis, chest pain and weight loss in the observation group were significantly higher than those in the control group (P <0.05). There was no significant difference in the incidence of cough and sputum between the two groups (P> 0.05). The total clinical effective rate was 88.33% in the observation group and 98.33% in the control group. The total effective rate in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: The symptoms of hemoptysis, chest pain and weight loss in patients with chronic obstructive pulmonary disease and pulmonary tuberculosis are more common and the treatment is more difficult than that of patients with simple pulmonary tuberculosis. Clinical diagnosis should pay attention to identification, so as to avoid misdiagnosis and missed diagnosis.