关键词: 结核,肺, 老年

Abstract: Objective To investigate clinical features,proper treatment and management Methods of pulmonary tuberculosis in the senility.Methods A comparison of clinical features,treatment,effect and compliance in cases of pulmonary tuberculosis among 95 senilities(≥80 years) and 80 old patients(60～80 years) was performed.Results (1)Complication of circulatory diseases,innutrition and the number of patients who had more than 3 varieties of complications were larger in group Ⅰthan in group Ⅱ.(2)Cavitary cases of new cases in group Ⅰ were less than that of group Ⅱ(P<0.05).(3)The positive rate of sputum was lower in group Ⅰthan that of groupⅡ(P<0.05) and the effect of treatment were no significantly differences from group Ⅱ(P>0.05).(4)The improvement of X-ray was no significantly difference between three drugs and four drugs(P>0.05),but the side effect with four drugs was significantly higher than with three drugs(P<0.05). Conclusion (1)It is necessary to pay more attention to the senility with pulmonary tuberculosis to avoid delaying diagnosis and trentment.(2)The treatment to senility with pulmonary tuberculosis need proper doses and three drugs project is the best.(3)The effect was satisfied if they received regular treatment both in group Ⅰ and Ⅱ.

Key words: Tuberculosis,pulmonary, elder