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目的:探究老年性慢性阻塞性肺疾病合并肺结核(COPD-PTB)的治疗对策。方法:2012年5月-2013年12月收治老年性慢性阻塞性肺疾病合并肺结核患者98例,进行回顾性调查与分析。将所有病例均分为A、B两组,其中A组采取个性化治疗方案,B组则在此基础上对缓解期的患者采取康复治疗方案。对比治疗后效果和呼吸系统恢复情况。结果:B组的总有效率明显高于A组,且B组CRQ评分显著低于A组。差异均有统计学意义(P<0.05)。结论:早期诊治老年性慢性阻塞性肺疾病合并有肺结核患者,在个性化抗结核治疗基础上,缓解期的康复治疗可以大幅提高治疗效果,值得临床推广。
Objective: To explore the treatment of senile chronic obstructive pulmonary disease complicated with pulmonary tuberculosis (COPD-PTB). Methods: From May 2012 to December 2013, 98 patients with senile chronic obstructive pulmonary disease and pulmonary tuberculosis were admitted for retrospective investigation and analysis. All cases were divided into A, B two groups, of which A group to take personalized treatment program, B group is on the basis of the remission of patients to take rehabilitation programs. Comparison of post-treatment effects and respiratory recovery. Results: The total effective rate in group B was significantly higher than that in group A, and the CRQ score in group B was significantly lower than that in group A. The differences were statistically significant (P <0.05). Conclusion: Early diagnosis and treatment of senile COPD patients with pulmonary tuberculosis, based on the personalized anti-TB therapy, rehabilitative therapy during remission can significantly improve the therapeutic effect, which is worthy of clinical promotion.