2003～2008年若尔盖县结核病痰直接涂片镜检结果分析

County TB 2003～2008 Ruoergai direct sputum smear microscopy results

目的:了解若尔盖县结核病的流行情况,加强痰涂片质量管理,提高痰涂片阳性检出率。方法:依据《中国结核病防治规划-痰涂片镜检实验室质量保证手册》采用痰直接涂片萋-尼氏染色检查法。结果:初诊病人涂阳率33.8%,随诊病人涂阳率5.4%;男性初诊病人涂阳率30.1%,女性初诊涂阳率38.9%。青壮年初诊病例涂阳率高于其他年龄阶段;干酪样(脓样痰)涂阳率最高;清晨痰、夜间痰涂阳率最高。结论:对病人加强宣传留取合格的痰样,加强清晨痰、夜间痰的收集和检验,从而进一步提高肺结核病人的发现率。

Objective：To Ruoergai County, the prevalence of tuberculosis, sputum smear to enhance the quality of management and improve the detection rate of sputum smear positive. Methods：According to ＂ China＇s TB Control Program - sputum smear microscopy laboratory quality assurance manual,＂ the use of direct sputum smear examination luxuriant Nissl staining method. Results：The rate of newly diagnosed smear - positive patients 33.8% , follow - up patients with smear - positive rate of 5.4%; male patients with newly diagnosed smear- positive rate of 30. 1%, women newly diagnosed smear-positive rate of 38. 9%. Young adults newly diagnosed smearpositive cases was higher than other age groups; caseous （purulent sputum） the highest rate of smear - positive ; morning sputum, night - time the highest rate of sputum smear - positive. Conclusion ： For patients qualified to step up publicity to retain the sputum sample, sputum night to strengthen the early morning sputum collection and examination, so as to further enhance the detection rate of tuberculosis oatients.