2015-2019年龙岩市农村老年结核病患者死亡原因分析  

Analysis of death causes of elderly tuberculosis patients in rural areas of Longyan City from 2015 to 2019

作　　者：周志鹏[1] 陈建森[1] 陈益林[1] 池雪萍[1] 李土荣[1] ZHOU Zhi-peng;CHEN Jian-sen;CHEN Yi-lin;CHI Xue-ping;LI Tu-rong(Longyan Center for Disease Control and Prevention,Longyan364000,P.R.China)

机构地区：[1]龙岩市疾病预防控制中心,福建龙岩364000

出　　处：《社区医学杂志》2020年第19期1311-1313,共3页Journal Of Community Medicine

摘　　要：目的结核病是导致老年人死亡的主要疾病之一,龙岩市农村因结核病死亡老年人数逐年增加,本研究通过分析龙岩市农村老年结核病死亡患者临床数据,对改善结核病防控策略和降低死亡率提供科学依据。方法收集死因监测系统中龙岩市各县区上报的2015-2019年因结核病死亡≥60岁老年患者192例,对死亡原因、性别、胸部影像学及实验室检查结果进行回顾性分析。结果192例老年结核病死者中,2015-2019年因结核病死亡的老年患者逐年增加,且男性患者居多;老年结核病死亡患者肺野个数大部分为3~4个(58.85%),且多发空洞性病变(54.17%);老年结核病患者死亡原因主要为肺部感染(21.88%)和慢性阻塞性肺疾病并感染(19.27%)。结论老年结核病死亡患者多存在慢性阻塞性肺疾病和肺部感染,男性患者的抗结核治疗尤其值得重视。OBJECTIVE Tuberculosis is one of the main diseases leading to death of the elderly.The number of elderly deaths due to tuberculosis in the rural areas of Longyan City is increasing.This study analyzed the clinical data of rural elderly tuberculosis deaths in Longyan City to provide a scientific basis for improving tuberculosis prevention and control strategies and reducing mortality.METHODS Data of 192 elderly patients(≥60 years old)who died of tuberculosis from 2015 to 2019 reported by the counties and districts of Longyan City were collected from the cause of death monitoring system.The cause of death,gender,chest imaging examination and laboratory examination of the dead patients were retrospectively reviewed.The reasons,gender,chest imaging examination and laboratory examination were analyzed retrospectively.RESULTS Among the 192 elderly tuberculosis deaths,the number of elderly patients who died of tuberculosis increased from 2015 to 2019 year by year,and the majority of male patients.The majority of elderly patients with tuberculosis died of lung fields of 3 to 4(58.85%),and more empty sex lesions(54.17%),the main causes of death in elderly tuberculosis patients were lung infections(21.88%)and chronic obstructive pulmonary disease infections(19.27%).CONCLUSION Chronic obstructive pulmonary disease and pulmonary infections are common in elderly patients with tuberculosis deaths,and more attention should be paid to anti-tuberculosis treatment for male patients.

关 键 词：结核病 死亡原因 肺部感染 农村 龙岩市 

分 类 号：R521[医药卫生—内科学]