| 柴梅,史清明.肺癌合并结核病 177例临床特点及影响因素分析[J].安徽医药,2021,25(5):923-926. |
| 肺癌合并结核病 177例临床特点及影响因素分析 |
| The clinical features and influencing factors of 177 patients with lung cancer and comorbid tuberculosis |
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| DOI：10.3969/j.issn.1009-6469.2021.05.019 |
| 中文关键词: 肺肿瘤 结核 临床特点 |
| 英文关键词: Lung cancer Tuberculosis Clinical features |
| 基金项目: |
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| 中文摘要: |
| 目的了解肺癌合并结核病的临床特点及影响因素。方法回顾性分析安徽省胸科医院 2013年 1月至 2016年 12月肺癌合并结核病 177例的基础状态、一般资料、结核病和肺癌等情况。结果肺癌合并结核病的病人以 65岁以上老人(67.2%)、男性( 89.8%)、肺鳞癌( 46.3%)、中晚期肺癌( 60.5%)为多，新发生结核病的病人接近一半( 47.5%)。低体质量指数(BMI)(OR=3.000，95% CI:1.196～7.526)、低蛋白血症( OR=2.281，95% CI:1.418～3.669)、居住在农村( OR=1.975，95% CI:1.272～3.066)、慢性阻塞性肺病( COPD)(OR=3.882，95% CI:1.231～12.239)可能是肺癌合并结核病的危险因素；非文盲( OR= 0.556，95% CI:0.360～0.859)、无糖尿病( OR=0.326，95% CI:0.163～0.649)可能是肺癌合并结核病的保护性因素。结论对于来自农村、老年男性、伴有营养不良和 COPD的中晚期肺鳞癌病人，应警惕结核病的发生。 |
| 英文摘要: |
| Objective To investigate the clinical features and influencing factors of patients with lung cancer and comorbid tuberculosis.Methods A retrospective analysis of the basic status, general information, tuberculosis and lung cancer of 177 cases of lung cancer complicated with tuberculosis was carried out.They were admitted to Anhui Chest Hospital from January 2013 to December 2016.Results Most of the patients with lung cancer and comorbid tuberculosis were over 65 years old (67.2%), male (89.8%). Most of themhad advanced lung cance(60.5%). Squamous cell carcinoma was the most common pathological type(46.3%).Nearly half of the patientshad new tuberculosis(47.5%). Low body mass index(OR=3.000, 95%CI: 1.196-7.526), hypoalbuminemia(OR=2.281, 95% CI: 1.4183.669), living in rural areas(OR=1.975, 95% CI:1.272-3.066), COPD(OR=3.882, 95% CI:1.231-12.239) may be the risk factors of lungcancer and comorbid tuberculosis. Low education, diabetes may be the protective factors of lung cancer and comorbid tuberculosis.Con? clusion If the patients with advanced lung squamous cell were old , male, from rural areas, poor nutritional status and comorbidCOPD, the occurrence of tuberculosis should be vigilant. |
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