结核性胸膜炎临床特征的性别差异  

作　　者：白国峰[1] 

机构地区：[1]沈阳市第十人民医院,辽宁110044

出　　处：《当代医学》2016年第8期25-26,共2页Contemporary Medicine

摘　　要：目的探讨结核性胸膜炎临床特征的性别差异。方法回顾性分析155例结核性胸膜炎患者,将患者按性别分为男性组(76例)和女性组(79例),男性组平均年龄(45.7±15.8)岁,女性组(47.9±16.7)岁。结果男性结核性胸膜炎患者以发热、胸闷气短、胸痛、咳嗽咳痰为主要表现,而女性患者中消瘦、盗汗、乏力、纳差等结核中毒症状更明显。男性患者多合并肺部病变,血性胸水多见。实验室及辅助检查无特异。女性患者治疗后的总有效率明显低于男性患者(P<0.05);女性患者药物副作用明显高于男性患者(P<0.05)。且女性患者胸膜肥厚及包裹的发生率明显高于男性患者(P<0.05)。结论男性结核性胸膜炎患者和女性结核性胸膜炎患者由于自身生理不相同,其临床表现特点存在显著不同,因此,在治疗过程中应结合患者的差异为其选择合适的治疗方案。Objective To explore gender differences of the clinical characteristics of tuberculous pleurisy. Methods A total of 155 cases of tuberculous pleurisy patients were retrospectively analyzed. 76 cases were male, and mean age was （45.7±15.8）years. 79 were female and mean age was mean age （47.9±16.7）years. Results Fever, chest discomfort, shortness of breath, chest pain, cough and expectoration were the main performance male patients with tuberculous pleurisy, while becoming thin, night sweats, lack of strength, inappetence in female patients with tuberculous pleurisy. More than male patients have pulmonary lesions and hemorrhagic effusion. Laboratory and auxiliary examination were not different between both genders. After treatment, pleural effusion absorption was slower in female patients （P〈0.05）, which were easy to appear the pleura hypertrophy. In female patients, incidence of adverse drug reactions was higher and cure rate was lower than male patients （P〈0.05）. Conclusion Understanding gender differences in the clinical features of tuberculous pleurisy help to early diagnosis and reasonable treatment.

关 键 词：结核性胸膜炎 临床特征 性别差异 

分 类 号：R521.7[医药卫生—内科学]