老年复治肺结核成因及防治对策

Causes and Countermeasure of Elderly Pulmonary Tuberculosis Needing Retreatment

目的探讨老年复治肺结核的形成原因及防治对策。方法分析108例老年复治肺结核的病程、用药史、停药原因及复诊时临床表现、耐药性和合并症等情况。结果导致老年肺结核复治的主要原因为不规则化疗,化疗督导不善;缺乏结核病的防治知识;经济困难;耐药率高;合并症多及身体一般状况较差。结论加强肺结核的归口管理,合理、有效地抗结核强化治疗,增强机体免疫功能,积极治疗并发症,加强营养和加强宣教工作是防止老年肺结核复治的良好方法。

Objective To explore the cause and the countermeasure of elderly pulmonary tuberculosis needing retreatment. Methods Analysis was conducted in 108 pulmonary tuberculosis of the elderly who needed retreatment on aspects of course, drug-taking history, drug-interrupting cause, and so on. Results The mean time of surgical operation was 45 minutes, and there was no obvious bleeding during the operation. The hospitalization duration was 10 days, averagely. Primary healing was achieved in all the patients without obvious scar. According to one year＇s follow-up, the rank of the therapeutic outcomes （Nakaih grade） were listed as following： excellent （n =30）, good （n =9）, so-so （n =3） and bad （n =0）. Conclusion It is deemed that APLD is a reliable and less traumatic approach to the therapy of elderly lumbar intervertebral disc herniation with shorter operative time and hospitalization duration.