肺结核合并尘肺45例治疗体会

目的探讨肺结核合并尘肺患者与单纯肺结核的治疗效果。方法将2064例肺结核患者分为2组，45例合并尘肺患者为尘肺组，其余2019例为对照组，比较2组间的治疗效果。结果尘肺组治疗2、3个月痰菌阴转率低于对照组（Χ^2分别为5．59和4．10，均P〈0．05）；疗程结束时尘肺组胸片吸收好转率（82．22％）低于对照组（90．83％）；尘肺组疗程长于对照组，症状改善慢，差异有统计学意义（P〈0．05）。结论肺结核合并尘肺患者治疗较单纯肺结核困难，应该适当延长疗程和增加药物。

Experience of Treating 45 Cases of Tuberculosis Combined with Pneumoconiosis

Objective] To explore the therapeutic efficacy for pulmonary tuberculosis combined with pneumoconiosis and simple pulmonary tuberculosis. Methods] 2064 cases of pulmonary tuberculosis were divided into two groups, namely, the pneumoconiosis group with 45 patients of pulmonary tuberculosis combined with pneumoconiosis and the rest 2019 cases in the control group; the therapeutic efficacy was contrasted between the two groups. Results] After two to three months＇treatment, the sputum negative rate of the pneumoconiosis group was lower than that of the control （ P 〈 0.05 ） ; the absorption progressive rate of the chest X-ray of the pneumoconiosis group （82.22%） was also lower than that of the control （90.83%） （ P 〈 0. 05） ; the period of treatment of the pneumoconiosis group was longer than that of the control, the difference was significant （ P 〈 0.05 ）. Conclusion] It is more difficult to treat pulmonary tuberculosis combined with pneumoconiosis than to treat simple pulmonary tuberculosis; the period of treatment should be prolonged and medicine should be added in the treatment.