肺结核感染合并慢性阻塞性肺疾病患者临床分析.docVIP

肺结核感染合并慢性阻塞性肺疾病患者临床分析 　　[摘要] 目的 探?分析肺结核（TB）感染合并慢性阻塞性肺疾病（COPD）患者的临床特点，指导诊治疗二者合并症的临床观察。方法 方便选取2015年1―12月该院收治的TB感染合并COPD患者及单纯TB患者各120例，研究其基础资料、临床表现、实验室检查结果、影像学检查结果，从而分析TB合并COPD患者的临床特点。结果 COPD合并肺结核组胸闷、胸痛、气喘、乏力、盗汗发生率多于单纯肺结核感染组（65.83%/10.00%，61.67%/10.00%，75.83%/55.00%，45.00%/5.83%，33.33%/4.17%），比较差异有统计学意义（P0.05）；PPD阳性、痰涂片查抗酸杆菌阳性TB组高于COPD合并TB 组（39.17%/19.17%，70.83%/23.33%），但血电解质紊乱、低氧血症、Ⅱ型呼吸衰竭TB组低于TB合并COPD组（10.00%/27.50%，8.33%/20.83%，4.17%/13.33%），比较差异有统计学意义（P0.05）；肺炎X线表现、合并空洞症状TB 组发生率高于COPD合并TB 组（94.17%/41.46%，66.67%/27.50%），不同程度肺气肿、胸膜粘连或肋膈角变钝症状COPD合并TB 组发生率高于TB组 （100.00%/76.67%，32.50%/8.33%），比较差异有统计学意义（P0.05）。结论 随着COPD 患者的逐年增多，COPD合并TB患者也在逐渐增多，应引起重视，加强COPD 患者的结核病筛查，及时诊断并注意个体化治疗，绝大部分患者均可获得良好的预后。 　　[关键词] 慢性阻塞性肺疾病；TB感染；临床特点；影像学检查 　　[中图分类号] R563.9 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0016-04 　　Clinical Analysis of Patients with Tuberculosis Infection and Chronic Obstructive Pulmonary Disease 　　WANG Shan 　　Department of Infection Disease， Alashan Central Hospital， Alashan， Inner Mongolia， 750306 China 　　[Abstract] Objective To discuss the clinical features of patients with tuberculosis infection and chronic obstructive pulmonary disease. Methods 120 cases of patients with TB infection and COPD and 120 cases of patients with TB admitted and treated in our hospital from January 2015 to December 2015 were convenient selected and the basic data， clinical manifestations， laboratory examination results and imaging examination results were researched thus analyzing the clinical features of patients with TB and COPD. Results The incidence rate of dyspnea， chest pain， asthma， weak and night swear in the complication group was higher than that in the simple group（65.83%/10.00%， 61.67%/10.00%， 75.83%/55.00%， 45.00%/5.83%， 33.33%/4.17%）， and the differences had statistical significance（P 　　[Key words] Chronic obstructive pulmonary disease； TB infection； Clinical features； Imaging examination 　　近年来，受环境等因素影响，肺结核（Tuberculosis，TB）感染患者同时存在慢性阻塞性肺疾病（chronic obstructive pulmonary dise