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目的对老年慢性阻塞性肺疾病(COPD)合并肺结核的临床特点和诊治方法进行分析。方法选取2010年7月-2013年7月医院收治的COPD合并肺结核治疗的患者50例作为观察组,同时选取同期入院治疗的单纯肺结核患者50例为对照组,比较2组患者的临床症状、结核菌素实验结果和病原学检查结果。结果观察组患者咯血、胸痛、消瘦临床症状患者数明显高于对照组,差异有统计学意义(P<0.05);观察组患者的血沉值明显高于对照组患者,差异有统计学意义(P<0.05);观察组患者结核菌素试验阳性患者明显少于对照组患者,痰涂片阳性、抗结核抗体阳性的患者数明显高于对照组,差异有统计学意义(P<0.05)。结论开展老年COPD合并肺结核诊治特点的临床研究,对于疾病的早诊断、早治疗具有重要意义,具有临床研究价值。
Objective To analyze the clinical features and diagnosis and treatment of senile chronic obstructive pulmonary disease (COPD) complicated with pulmonary tuberculosis. Methods Fifty patients with COPD and pulmonary tuberculosis treated in our hospital from July 2010 to July 2013 were selected as the observation group. Fifty patients with simple pulmonary tuberculosis admitted in the same period were selected as the control group. The clinical symptoms, tuberculosis Mycotoxin test results and etiological test results. Results The number of patients with clinical symptoms of hemoptysis, chest pain and emaciation in observation group was significantly higher than that in control group (P <0.05). The ESR in observation group was significantly higher than that in control group (P <0.05). The number of patients with positive tuberculin test in the observation group was significantly less than that in the control group. The number of patients with positive sputum smear and anti-TB antibody was significantly higher in the observation group than in the control group (P <0.05). Conclusion Clinical research on the characteristics of diagnosis and treatment of senile COPD with pulmonary tuberculosis is of great significance for the early diagnosis and early treatment of the disease and has clinical value.