运城市HIV/AIDS患者中结核病筛查结果分析

Analysis on the Screening Results of Tuberculosis in Patients with HIV/AIDS

目的:了解HIV/AIDS患者中结核病的感染情况。方法:对辖区内已登记和管理存活的HIV/AIDS患者拍胸片、痰涂片、PPD试验进行结核病筛查,按照活动性肺结核病诊断标准进行确诊。结果:390例HIV/AIDS患者中合并活动性肺结核36例。发病率9.23%,其中痰涂片阳性21例。占5.38%,痰涂片阴性15例。占3.83%。男性组合并活动性肺结核23例,发病率10.60%,女性13例,发病率7.51%,差别无统计学意义(X^2=1.09,P>0.05)。各年龄组合并活动性肺结核无统计学意义(P>0.05)。PPD试验阳性率为15.1%。结论:HIV/AIDS患者中结核病双重感染率较高。应加强时HIV/AIDS患者的结核病监测。

Objective To observe the infection of tuberculosis in patients with HIV/AIDS. Methods Sputum slice were smeared, PPD-test were tested to screen and diagnose tuberculosis according to the national active tuberculosis diagnosis stand- ard in patients with HIV/AIDS who were alive and registered and managed in our district. Recults Thirty-six cases, 9.23%, active tuberculosis in 390 cases of HIV/AIDS were found, in which, sputum smear positive rate were 5.38% （21 cases） ,neg- ative 3.83% （15cases） ; 23 cases were in male group with an incidence of 10.60%, and 13 cases in female with an incidence of 7.51% ,there were no significance difference between the group of gender （χ^2 = 1.09, P 〉 0.05 ）, and of age （ P 〉 0.05 ）. The positive rate of PPD-test was 15.1%. Conclusion Higher infection rate of tuberculosis in patients with HIV/AIDS suggest that monitoring of tuberculosis in patients with HIV/AIDS should be stressed.