摘要
目的 分析结核性胸膜炎患者的流行病学特征,为疾病防控和诊治提供助力。方法 选取2020-2022年唐山地区有代表性的140例结核性胸膜炎患者,统计分析患者的性别、年龄、地域等基本信息,将患者分为不同年龄组,统计分析合并基础疾病、胸腔积液、临床症状等疾病相关信息,明确结核性胸膜炎患者的流行病学特征及发病特点。结果 2020-2022年唐山地区结核性胸膜炎患者男性占70.71%,农村和流动人口占71.29%,老年和中年患者中农村和流动人口占比较青年患者高,差异有统计学意义(χ^(2)=7.042,P<0.05);青年、中年和老年患者的平均病程差异有统计学意义(χ^(2)=17.564,P<0.05);青年、中年和老年患者发热和胸痛症状的发生情况差异有统计学意义(χ^(2)=12.997、7.128,P<0.05);单侧胸腔积液患者占85.00%,合并慢性疾病患者占26.43%,老年患者的双侧胸腔积液占比和合并慢病疾病占比高于青年和中年患者(χ^(2)=9.475、25.451,P<0.05);青年患者的I类影像学表现发生率较老年患者多,III类影像学表现发生率较老年患者少,差异有统计学意义(χ^(2)=10.980、13.270,P<0.05)。结论 结核性胸膜炎患者以男性、农村和流动人口为主,胸腔积液以单侧渗出为主,老年患者病程长、基础疾病复杂,临床症状及影像学表现不典型。
Objective e To analyze the epidemiologic features of patients with tuberculous pleurisy,and to provide assistance for disease prevention and treatment.Methods A representative of 140 patients with tuberculous pleurisy in Tangshan Area from 2020 to 2022 were selected to statistically analyze the basic information such as gender,age,and region of the patients.The patients were divided into different age groups,and the relevant information of underlying diseases,pleural effusion,clinical symptoms,and other diseases was statistically analyzed to clarify the epidemiologic features and morbidity characteristics of the patients with tuberculous pleurisy.Results From 2020 to 2022,the proportion of tuberculous pleurisy patients in Tangshan Area was 70.71%in males,71.29%in rural and floating population,and the proportion of the rural and floating populations in elderly and middle-aged patients was higher than that of young patients,and the difference was statistically significant(x^(2)=7.042,P<0.05).There were statistically significant differences in the mean course of disease among young,middle-aged,and elderly patients(X2=17.564,P<0.05).There were statistically significant differences in the occurrence of fever and chest pain symptoms among young,middle-aged and elderly patients(x^(2)=12.997,7.128,P<0.05).The proportion of bilateral pleural effusion and chronic disease in elderly patients was higher than that in young and middle-aged patients(x^(2)=9.475,25.451,P<0.05),with 85.00%unilateral pleural effusion and 26.43%chronic disease.The incidence of Class I imaging features in young patients was higher than that in elderly patients,and the incidence of Class II imaging features was lower than that in elderly patients,with statistically statistical significance(x^(2)=10.980,13.270,P<0.05).Conclusion Tuberculous pleurisy patients are mainly male,rural,and floating population,and pleural effusion is mainly unilateral exudates.Elderly patients have a long course of disease,complicated underlying diseases,and less typical cli
作者
曹敬华
郎立新
王宁
田剑
刘红霞
张茜玉
CAO Jinghua;LANG Lixin;WANG Ning;TIAN Jian;LIU Hongxia;ZHANG Qianyu(Department of Respiratory Medicine,Linxi Hospital Affiliated to Kailuan General Hospital,Tangshan,Hebei 063000,China;不详)
出处
《医学动物防制》
2024年第2期161-164,共4页
Journal of Medical Pest Control
基金
河北省科学技术成果--内科胸腔镜联合深部热疗对包裹性结核性胸膜炎的疗效研究(193767-3)。
关键词
结核性胸膜炎
流行病学
发病特点
地域来源
影像学表现
分析
Tuberculous pleurisy
Epidemiology
Pathogenesis characteristic
Geographical origin
Imaging features
Analysis
