结核病与肺部健康杂志 ›› 2018, Vol. 7 ›› Issue (3): 213-216.doi: 10.3969/j.issn.2095-3755.2018.03.014

• 综述 • 上一篇    下一篇

老年肺结核临床特点及中医药治疗概况

杨晓明,刘忠达(),张尊敬,郭净   

  1. 323000 丽水市中医院肺病科
  • 收稿日期:2018-07-03 出版日期:2018-09-30 发布日期:2018-10-16
  • 通信作者: 刘忠达 E-mail:ls2156198@163.com
  • 基金资助:
    浙江省中医药重点研究项目(2017ZZ015);浙江省科技计划项目(2017C33198)

Clinical characteristics and the treatment of traditional Chinese medicine in senile pulmonary tuberculosis patients

Xiao-ming YANG,Zhong-da LIU(),Zun-jing ZHANG,Jing GUO   

  1. Lishui Hospital of TCM Pulmonary Disease Department, Lishui 323000, China
  • Received:2018-07-03 Online:2018-09-30 Published:2018-10-16
  • Contact: Zhong-da LIU E-mail:ls2156198@163.com

摘要:

老年肺结核具有临床症状和影像学表现不典型、男性患病率高于女性、并发疾病(症)多见、菌阳率(涂阳率和培阳率)及复治率高、药物不良反应高等临床特点。应结合患者临床症状、影像学检查、流行病学特征等综合分析,寻求病原学及组织学依据,做到“早发现、早诊断”。同时,应加强对老年肺结核患者进行疾病防治知识的宣传教育,提升诊疗服务质量,全程督导,规范诊治。中医药辅助治疗老年肺结核在改善患者临床症状、提高痰菌阴转率、减少抗结核药物不良反应、提高机体免疫力及治愈率等方面具有明显优势,值得进一步验证及推广。

关键词: 结核, 肺, 老年人, 疾病特征, 早期诊断, 医学, 中国传统, 综述文献(主题)

Abstract:

Senile pulmonary tuberculosis patients have unique clinical features: untypical clinical symptoms and imaging, higher male prevalence, more comorbidities and complications, high bacterial positive rate and retreatment rate and high drug adverse reactions. Early detection and early diagnosis of senile pulmonary tuberculosis should be achieved by the pathogen and histological evidence combined with the patient’s clinical symptoms, imaging and epidemiology. At the same time, strengthen the publicity and education of knowledge in elderly tuberculosis patients, improve the quality of diagnosis and treatment services, supervise the whole process, standardize diagnosis and treatment had important role. Traditional Chinese medicine as a adjuvant treatment in senile TB patients had obvious advantages in improving the clinical symptoms of patients, increasing the negative rate of sputum bacteria, reducing the toxic and side effects of anti-tuberculosis drugs, improving the body immunity and the cure rate. This is worthy of further verification and promotion.

Key words: Tuberculosis, pulmonary, Aged, Disease attributes, Early diagnosis, Medicine, Chinese traditional, Review literature as topic