李 瑞

老年慢性阻塞性肺疾病合并肺结核的临床治疗

李 瑞

【摘要】目的 探究老年慢性阻塞性肺疾病合并肺结核的临床治疗方法和效果。方法 按照随机数字的方式，将我院于2014年10月～2015年10月收治的48例老年慢性阻塞性肺疾病合并肺结核患者分为两组，观察组（24例）和对照组（24例）。给予观察组患者抗结核治疗，给予对照组患者基础治疗，对比并分析两种治疗方法的效果。结果 观察组治疗有效率高于对照组，两组差异有统计学意义（P＜0.05）。结论 对老年慢性阻塞性肺疾病合并肺结核患者给予抗结核治疗，效果显著。

【关键词】老年慢性阻塞性肺疾病合并肺结核；抗结核治疗；疗效对比

Objective Clinical treatment method and its effect on elderly patients with chronic obstructive pulmonary disease complicated with tuberculosis are to be studied. Methods Chose 48 elderly patients with chronic obstructive pulmonary disease complicated with tuberculosis that were treated in hospital from October 2014 to October 2015 and separated them into study group（24 patients）and control group（24 patients），patients in study group were given anti-tuberculosis treatment，while，patients in control group were given elementary treatment，and then compared treatment effects between two groups. Results Patients' treatment efficacy was much higher in study group compared to that in control group. There was a differential between two groups and such a differential has statistic value（P＜0.05）. Conclusion Anti-tuberculosis treatment is quite effective onelderly patients with chronic obstructive pulmonary disease complicated with tuberculosis.

【Key words】 Elderly patients with chronic obstructive pulmonary disease complicated with tuberculosis，Anti-tuberculosis treatment，Effect comparison

慢性阻塞性肺疾病和肺结核是临床上比较常见的呼吸道疾病，具有高发病率、高死亡率的特点［1］，老年人群体质比较特殊，对抗细菌病毒的能力较弱，成为了慢性阻塞性肺疾病、肺结核的高发人群［2］。由于这两种疾病的临床症状比较相似，很难分辨，如果没有准确的诊断，很容易出现漏诊和误诊的情况，不利于患者的后续治疗和康复。本文对老年慢性阻塞性肺疾病合并肺结核疾病进行了深入了探讨，并以我院近期收治的该病患者为研究对象，按照组别给予了他们不同的治疗方法，取得了较好的临床效果，具体过程如下。

1 资料和方法

1.1 一般资料

我院于2014年10月～2015年10月共收治了48例老年慢性阻塞性肺疾病合并肺结核患者，经检查，这些患者无先天性肺部疾病和其他严重疾病，符合老年慢性阻塞性肺疾病合并肺结核的临床诊断标准。……