陈旧性肺结核并发气胸的危险因素  

Analysis of the Risk Factors of Spontaneous Pneumothorax on Old Lung Tuberculosis

作　　者：夏光进 丁玉江[1] 赵霞[1] 顾晓雷[1] 

机构地区：[1]江苏省大丰县人民医院,江苏大丰224100

出　　处：《河北医学》2012年第12期1722-1725,共4页Hebei Medicine

摘　　要：目的:分析陈旧性肺结核患者发生气胸的危险因素。方法:回顾性分析1092例陈旧性肺结核患者的临床资料,根据其是否发生自发性气胸(spontaneous pneumothorax,SP)将其分为病例组和对照组。病例组为发生SP患者,对照组为未发生SP患者。采用单因素分析、多因素分析及受试者工作特征(receiver operation characteristic curve,ROC)曲线分析相结合的方法研究陈旧性肺结核患者发生SP的危险因素。结果:高龄、合并COPD、糖尿病、吸烟患者发生SP的OR(95%CI)分别是4.962(1.738-11.289)、3.228(1.893-7.694)、3.381(1.224-9.336)、2.423(1.674-5.539),其ROC曲线下面积分别是0.898、0.764、0.832、0.734。结论:高龄、合并COPD、糖尿病、吸烟是陈旧性肺结核患者发生SP的危险因素,其对患者发生SP的预测价值均较高。Objective： To analyse the risk factors of spontaneous pneumothorax on patients with old lung tuberculosis. Method ： The clinical data of 1092 old lung tuberculosis patients were retrospective analys and divided into case group and control group according to whether the occurrence of spontaneous pneumothorax. The patients undergoing SP in case group, the patients did not occur SP in control group. To study the risk factors of SP for old lung tuberculosis patients by single factor analysis, multivariate analysis and receiver op- erating characteristic curve analysis. Result： The OR （95%CI） of senility, combined with COPD, diabe- tes, and smoking in patients which occurred SP were 4. 962 （ 1. 738- 11. 289 ） ,3. 228 （ 1. 893- 7. 694 ） ,3. 381 （ 1. 224- 9. 336 ） , 2. 423 （ 1. 674- 5. 539 ） , the area under the ROC curve was respectively 0. 898,0. 764,0. 832,0.734. Conclusion： Elderly, combined with COPD, diabetes, smoking is risk factors of SP for patients with old lung tuberculosis, There＇s higher predictive value of risk factors.

关 键 词：陈旧性肺结核 气胸 危险因素 

分 类 号：R521[医药卫生—内科学]