肺结核和支气管炭病之间的关联
Khalid Ahmed1, Kamran K Sumalani2, Nousheen Akhter3
1Pulmonology, Fatima Jinnah General and Chest Hospital, Quetta, PAK.
Cureus
|December 13, 2024
概括
黑色的支气管 (炭病) 显著增加患结核病 (TB) 的风险. 生物质燃料的烟雾暴露是炭病和随后的结核病发展的关键风险因素. 进一步的结核病调查对于患有炭病的患者至关重要.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 环境健康 环境健康
背景情况:
- 支气管的黑色变色,即炭病,可以导致炭纤维化.
- 暴露于生物质燃料,空气污染或工作场所烟雾是常见的原因.
- 炭病和结核病 (TB) 之间的联系需要进一步调查.
研究的目的:
- 为了确定结核病和炭病之间的关联.
- 评估结核病在有或没有炭病的患者中的患病率.
主要方法:
- 患有慢性呼吸道症状和胸部X射线发现的患者接受了支气管镜检查.
- 结核病的诊断通过酸性快速细菌涂抹,菌根菌培养或Xpert MTB/RIF测定得到证实.
- 根据支气管镜检查结果,患者被分为炭病和对照组.
主要成果:
- 结核病在39.30%的炭病患者中被诊断为结核病,明显高于对照组的27.04% (p=0.020).
- 在79.41%的结核病患者中,Xpert MTB/RIF测定呈阳性.
- 所有患有炭病的女性患者都是使用生物质燃料的家庭主妇,观察到男性与女性的比例为3:1.
结论:
- 生物质燃料的烟雾暴露使个人容易患上炭病.
- 炭病明显与患结核病的风险增加有关.
- 对于患有炭病的患者,特别是那些暴露于生物质燃料烟雾的人,建议对结核病进行查.
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