3479例肺结核病人痰标本抗酸杆菌检查结果分析

The analyses of 3479 sputum specimens of acid-fast bacillus of pulmonary tuberculosis patients

目的 探讨肺结核病人痰标本抗酸杆菌检查的影响因素。方法 采用直接厚涂片萋 -尼氏法抗酸染色 ,对临床资料回顾分析。结果 3479例痰标本 ,抗酸杆菌阳性 82 9例 ,阳性率 2 3.8%。痰标本的性状、留痰时间对抗酸杆菌检出有很大影响。结论 应提高留痰质量 ,重视晨痰的留取。

Objective To explore the possible factors on the determination of acid-fast bacillus from sputum specimens of pulmonary tuberculosis patients.Methods The sputum specimens were dyed with the Ziehl-Neelsen anti-acid dyeing method, and the data were retrospectively analyzed.Results In 3479 strains from sputum specimens of patients with pulmonary tuberculosis, 829 strains were positive, with the positive rate of 23.8%. The types of sputum and the time the sputum was collected had a great influence on the positive rate of acid-fast bacillus.Conclusion The quality of sputum should be improved with an emphasis on its quality and the collection time in the morning.