甘谷县2005—2009年结核病痰涂片直接镜检结果分析

The Analysis of the Result of Country Gangu’s Tuberculosis Phlegm Smear Direct Microscopic Exam During 2005 to 2009

目的了解甘谷县结核病流行情况和痰涂片检查状况,加强痰涂片质量管理,提高痰涂片阳性检出率。方法统计分析甘谷县2005—2009年结核病痰涂片检查资料。结果 5年中结核病痰涂片镜检共7031例,初诊查痰率为86.90%,涂阳肺结核病例1320例,总涂阳率为18.77%;男性涂阳率为88.97%,女性涂阳率为63.27%;<20岁组涂阳率为45.88%,20岁以上组涂阳率为80.13%,40岁以上组涂阳率为90.63%,60岁以上组涂阳率为76.50%;脓性痰涂阳率为45.61%,血性痰涂阳率为31.58%,黏液痰涂阳率为13.26%,水样痰涂阳率为0.36%;晨间痰涂阳率为95.91%,晚间痰涂阳率为90.61%,即时痰涂阳率为49.36%;山区乡涂阳率为91.32%,川区乡镇涂阳率为63.62%。结论加强检验人员工作责任心和高度事业心,认真把好痰标本采集关,做好痰检质量控制,是提高抗酸杆菌阳性检出率的关键。加强农村地区特别是边远偏僻乡村的结核病防控工作。

OBJECTIVES To understand the situation of County Gangu’s TB prevalence and sputum smear, to strengthen the management of sputum smear quality and to improve the sputum smear’s positive rate. METHODS Statistical analysis of County Gangu during 2005—2009 tuberculosis sputum smears. RESULTS During these five years, there have been total 7 031 cases of sputum smear. The rate of newly diagnosed sputum examination is 86.90%. Smear-positive TB cases are 1 320, total Smear-positive rate is 18.77%. The positive rate of male is 88.97% and this of women is 63.27%; the group of those positive rate within the age of 20 is 45.88%, groups section of the positive rate over 20 is 80.13%, for over 40 years of age groups section of the positive rate is 90.63% and 60 years of positive rate 76.50%. purulent sputum positive 45.61% bloody sputum positive rate 31.58%, mucus and phlegm 13.26% positive rate, sample of sputum positive rate 0.36%, morning sputum positive rate 95.91% positive sputum, evening 90.61% instant sputum positive rate 49.36%, the mountain village of positive rate 91.32%; positive rate, Arakawa-Ku Township is 63.62%. CONCLUSIONS Strengthening work commitment and high professionalism, sputum specimen collection, do a smear quality control of acid-fast bacilli is the key to increase positive rate. Strengthening rural areas, particularly in remote and isolated village of tuberculosis prevention and control.