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中枢神经系统结核病:流行病学和临床特征的纵向分析

CNS tuberculosis: a longitudinal analysis of epidemiological and clinical features.

作者信息

Phypers M, Harris T, Power C

机构信息

Tuberculosis Prevention and Control, Public Health Agency of Canada, Ottawa, Ontario, Canada.

出版信息

Int J Tuberc Lung Dis. 2006 Jan;10(1):99-103.

Abstract

In a prospective Canadian cohort of 82 764 patients with tuberculosis (TB), the risk of developing central nervous system manifestations of TB (CNS-TB) (1%) was higher among younger, female, Aboriginal and foreign-born persons (P < 0.005), together with an elevated mortality risk (RR 4.23), compared to controls with only pulmonary TB. TB detection was lower in the CNS-TB group (P < 0.005), while the likelihood of being cured was also reduced (P < 0.005). CNS-TB remains a serious complication of TB in the industrialised world.

摘要

在一项针对82764名加拿大结核病患者的前瞻性队列研究中,与仅患有肺结核的对照组相比,年龄较小、女性、原住民和外国出生者发生结核性中枢神经系统表现(CNS-TB)的风险(1%)更高(P<0.005),且死亡风险升高(相对风险4.23)。CNS-TB组的结核病检出率较低(P<0.005),治愈的可能性也降低了(P<0.005)。在工业化国家,CNS-TB仍然是结核病的一种严重并发症。

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