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目的 分析伴有发热症状的肺结核病人抗结核治疗后发热症状控制情况与血清白蛋白水平之间的关系。方法 抽取 2 0 0 0年至 2 0 0 2年在本院的初治菌阳伴有发热症状的肺结核患者 114例 ,测定其血清白蛋白 ,根据其数值将患者分为白蛋白正常组、白蛋白低下组 ,观察其接受抗结核治疗后发热症状被控制的情况并进行对比分析。结果 白蛋白正常的病人接受抗结核治疗后发热症状较易被控制 ,白蛋白低下治疗后发热症状较难被控制 ,两组间差异有显著性 (P <0 .0 0 5 )。结论 机体血清白蛋白水平低下会影响肺结核发热症状的控制。
Objective To analyze the relationship between the control of fever symptoms and serum albumin level after antituberculous therapy in patients with pulmonary tuberculosis complicated with fever. Methods Totally 114 pulmonary tuberculosis patients with fever-causing bacillary positive symptoms in our hospital from 2000 to 2002 were collected and their serum albumin was measured. According to their values, the patients were divided into normal albumin group, Low protein group, to observe the fever after receiving anti-TB treatment was controlled and comparative analysis. Results The patients with normal albumin had more control of fever symptoms after receiving anti-TB treatment. Fever symptoms were more difficult to control after albumin treatment was lower, the difference was significant (P <0.05). Conclusions Low serum albumin levels may affect the control of fever in tuberculosis.