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随着医疗保健事业的进步,生活水平的提高,老年人平均寿命延长,老年人口的比例增加,老年结核病呈现越来越高的发病趋势,这应该引起广大防痨工作者的高度重视。老年结核病患者是指65岁以上的结核病患者或者是65岁以前发病未彻底治愈而迁延至老年期者。老年结核患者免疫功能较低,痰菌阳性率高,复发病例多,治疗效果差。对多种抗结核药物的耐受性差,药物不良反应常见且严重,这已经成为结核病防治工作中的难点之一。了解老年结核病的临床特点,认真加以分析研究,以提高老年肺结核的早期诊断和治疗效果,提高生存质量,并有效遏制结核病的流行。
With the progress of medical care, the improvement of living standards, the average life expectancy of the elderly, the proportion of the elderly population increased, the incidence of older tuberculosis is increasing, which should arouse the great attention of the general anti-tuberculosis workers. Elderly patients with tuberculosis refer to those over 65 years of age who have tuberculosis or those who have not been completely cured before the age of 65 and have passed into old age. Senile tuberculosis patients with lower immune function, sputum positive rate, recurrence of cases, the treatment effect is poor. To a variety of anti-TB drug resistance is poor, common and serious adverse drug reactions, which has become one of the difficulties in tuberculosis prevention and control work. To understand the clinical features of elderly patients with tuberculosis, careful analysis and research to improve the early diagnosis and treatment of senile pulmonary tuberculosis, improve quality of life, and effectively curb the epidemic of tuberculosis.