青少年肺结核幸存者的结核后后遗症。

C Cesilia, F R Rinawan, P Santoso, H M Nataprawira
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引用次数: 0

摘要

目的:比较药物敏感(DS)和耐药(DR)肺结核(PTB)青少年幸存者的持续临床症状、胸部x线(CXR)、肺活量测定和超声心动图结果。方法:本回顾性队列研究对52名青少年肺结核幸存者进行了研究。我们比较了DS-TB和DR-TB幸存者的持续临床症状、CXR、肺活量测定和超声心动图。采用χ2检验进行组间比较(P < 0.05显著性),采用logistic回归分析识别危险因素,采用多因素Rasch测量版本Facets 3.86.0评估CXR的多指标一致性。结果:在持续临床症状(DS-TB幸存者较高)、CXR和肺活量测定异常(DR-TB幸存者较高)方面发现了显著差异。超声心动图显示两组肺动脉高压发生率均较低。有合并症的青少年肺结核幸存者发生肺部后遗症的风险是无后遗症的1.5倍。结论:青少年肺结核幸存者的肺部后遗症在DS和DR-TB中都有记载。治疗完成后对肺结核幸存者进行监测是必要的,尤其是在青少年中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-TB sequelae in adolescent pulmonary TB survivors.

Objective: To compare the persistent clinical symptoms, chest X-ray (CXR), spirometry and echocardiography results in adolescent survivors of drug-susceptible (DS) and drug-resistant (DR) pulmonary TB (PTB).

Methods: This retrospective cohort study was conducted in 52 adolescent PTB survivors. We compared persistent clinical symptoms, CXR, spirometry and echocardiography in DS-TB and DR-TB survivors. χ2 test was used to compare groups (P < 0.05 significant), logistic regression analysis was used to identify risk factors, and Many-Factor Rasch Measurement Version Facets 3.86.0 was used to assess the multi-rater agreement of CXR.

Results: Significant differences were found in persistent clinical symptoms (higher in DS-TB survivors), CXR, and spirometry abnormalities (higher in DR-TB survivors). The echocardiography revealed a low pulmonary hypertension probability in both groups. Adolescent PTB survivors with comorbidity have 1.5 times the risk of developing pulmonary sequelae compared to non-sequelae.

Conclusion: Pulmonary sequelae in adolescent PTB survivors were documented in both DS and DR-TB. Monitoring after treatment completion was necessary for PTB survivors, especially in adolescents.

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