6099例肺结核可疑症状者的临床诊断结果分析

目的 探讨肺结核可疑症状者的疾病类别构成特征,为结核病临床诊疗和流行病学研究提供依据.方法 对2010-2015年广州市越秀区6 099例肺结核可疑症状者人群进行回顾性分析,对不同年龄、性别肺结核可疑者按活动性肺结核、陈旧性肺结核和非结核性肺部疾病等3类临床诊断结果描述其百分构成,并观察年间变化趋势.结果 6 099例肺结核可疑者中活动性肺结核、陈旧性肺结核和非结核性肺部疾病的百分构成分别为58.34％、7.85％和33.81％,其中男性分别为60.62％、7.79％、31.58％,女性分别为54.32％、7.96％、37.72％;15岁以下年龄组中上述三类疾病的百分构成分别为34.62％、0和65.38％,15岁以上各年龄组(5岁为一年龄组)则分别为41.69％～77.72％(58.34％)、1.10％～ 13.03％(7.85％)和20.10％～45.77％(33.81％),随着年龄的增加,活动性肺结核和非结核性肺部疾病的百分构成分别呈逐步递降与递增趋势;2010-2015年各年间无规律性变化趋势.结论 性别不对肺结核可疑症状者的疾病类别构成产生影响,但不同年龄人群则具有不同的疾病类别构成,对老年肺结核可疑症状者应加强鉴别诊断工作.

Analysis of clinical diagnosis of 6 099 cases with pulmonary tuberculosis suspicious symptoms

Objective To investigate the constituent characteristics of disease category for diagnosis,treatment and epidemiological study.Methods 6 099 cases with pulmonary tuberculosis suspicious symptoms from Yuexiu District of Guangzhou City from 2010 to 2015 were analyzed respectively.The results of percentage of active tuberculosis,old tuberculosis and non-tuberculous lung diseases were calculated according to age and gender.Secular trend from 2010 to 2015 was also observed.Results The percentages of active tuberculosis,old tuberculosis and non-tuberculous lung diseases were 58.34％,7.85％,and 33.81％ among 6 099 cases,of which those were 60.62％,7.79％,31.58％ in male and 54.32％,7.96％,37.72％ in female respectively.The percentages were 34.62％,0,and 65.38％ in cases under the age of 15 years old,and those were 41.69％-77.72％ (58.34％),1.10％-13.03％ (7.85％),and 20.10％-45.77％ (33.81％) in cases aged 15 years old and over and divided into various age group according to the interval of 5 years old.There were gradually descending trend for the percentages of active tuberculosis and opposite for non-tuberculous lung diseases with age.But the secular trend from 2010 to 2015 had no regularity.Conclusions The difference of percentages of active tuberculosis,old tuberculosis,and non-tuberculous lung diseases does not exist between male and female cases with pulmonary tuberculosis suspicious symptoms.But the differences of percentages of different age group were obvious and it is essential to emphasize differential diagnosis for the elderly with pulmonary tuberculosis suspicious symptoms.