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目的:为了解老年肺结核流行病学的趋势和特征,提高对老年肺结核的防治。方法:对象为1982～1999年住院治疗的肺结核患者3032例,其中老年肺结核944例,中青年肺结核2088例进行对比分析。结果:老年肺结核从1982～1999年呈逐年递增趋势;老年肺结核合并症多,尤以呼吸系统的合并症显著高于青壮年组;老年肺结核痰菌阳性率又高于青壮年组,作为传染源对社 会和家庭带来很大的危害;老年肺结核初治痰菌阴转率与中青年组无明显差别,因此早期诊断、抓住初治是防治工作的关键。结论:老年肺结核对社会的结核疫情影响显著,应切实加强对老年肺结核的防治。
OBJECTIVE: To understand the trends and characteristics of the epidemiology of senile pulmonary tuberculosis and to improve the prevention and treatment of senile pulmonary tuberculosis. Methods: A total of 3032 pulmonary tuberculosis patients admitted to hospital from 1982 to 1999 were enrolled. Among them, 944 were elderly tuberculosis and 2088 were middle-aged and young pulmonary tuberculosis. Results: Elderly tuberculosis showed a trend of increasing year by year from 1982 to 1999. Elderly patients had more pulmonary tuberculosis complications, especially those with respiratory complications. The positive rate of sputum bacteria in elderly tuberculosis was higher than that of young adults, Causing great harm to the society and the family. The primary sputum negative conversion rate of elderly patients with tuberculosis was no different from that of middle-aged and young people. Therefore, early diagnosis and seizure of primary treatment are the key points of prevention and treatment. Conclusion: Elderly pulmonary tuberculosis has a significant impact on the epidemic of tuberculosis in the community. The prevention and treatment of elderly tuberculosis should be strengthened.