结核抗体检测在老年结核病诊断中的应用价值

摘要

目的 探讨血清抗结核抗体在老年肺结核中的应用价值,为老年肺结核的诊断提供临床依据.方法 100例肺结核患者根据年龄分为年龄≥65岁以上老年组患者和年龄在≤30岁的青年组患者各50例,比较两组临床症状及血清抗结核抗体,涂片,PPD试验结果.结果 青年组有发热和咳血等临床表现的比例明显高于老年组,而老年组患者咳嗽咳痰的比例明显高于青年组,差异具有明显的统计学意义(P<0.05),老年组肺结核患者结核抗体阳性率为85.00%明显高于涂片和PPD的阳性率,差异有显著的统计学意义(P<0.01).结论 老年肺结核患者临床症状不典型,结核抗体在老年肺结核患者中阳性率较高,对于老年肺结核的诊断具有重要的应用价值.%Objective To investigate the serum anti tuberculosis antibody for application value of tuberculosis in elderly patients, For the diagnosis of senile pulmonary tuberculosis to provide clinical basis. Methods 100 cases of patients with pulmonary tuberculosis according to the age is divided into age≥65years elderly patients and the aged≤30 years young group of patients50 cases each, were compared between the two groups of clinical symptoms and serum anti tuberculosis antibody, smear, PPD test results.Results The youth group with fever and hemoptysis clinical manifestations such as ratio were higher in the older age group, while the elderly group of patients with cough and sputum was significantly higher than the young group, the difference is significant(P<0.05), the older group of patients with pulmonary tuberculosis TB antibody positive rate was 85%and PPD was significantly higher than that of smear positive rate, difference there was a statistically significant difference(P<0.01). Conclusion The elderly pulmonary tuberculosis patients with atypical clinical symptoms, tuberculosis antibody in elderly patients with pulmonary tuberculosis in the higher positive rate, for senile pulmonary tuberculosis diagnosis has important application value.