不同药物雾化引痰查结核分枝杆菌结果分析

Analysis of effect of draining sputum by different drug ultrasonic nebulization to check tuberculosis

目的 为解决无痰肺结核患者的痰结核菌检查，提高痰检率。方法 对３６２ 例门诊无痰肺结核病人随机分为１ 、２ 、３ 组，分别应用３－６ ％ 盐水、０－１ ％ 薄荷水、１０ ％ 盐水进行超声雾化引痰，荧光法查结核杆菌。结果 三组药物的排痰率第２ 组明显较高（ Ｐ＜ ０－０１） ，第１ 、３ 组间无差异。有效排痰率第２ 组明显较低（ Ｐ＜ ０－０１） ，第１ 、３ 组间无差异。排痰病人菌阳检出率第１ 、２ 、３ 组分别为２２－１ ％ 、６－８ ％ 、１４－２ ％ ，第１ 组明显高于第２ 组（ Ｐ＜ ０－０１） ，但与第３ 组相比无差异（ Ｐ＞ ０－０５） 。有效排痰病人痰菌检出率三组间无差异（ Ｐ＞０－０５） 。结论 ３－６ ％ 盐水超声雾化引痰可使７３－１ ％ 的无痰病人引出痰，其中２２－１ ％ 查到结核分枝杆菌，经济方便、易于推广。

Objective Check the tuberculosis in patients who are nonsputum pulmonary cases,improve the sputum checking rate.Method 362 outpatients sampled randomly in three groups,use(1)3 6% salt water(2)0 1% peppermint water(3)10% salt water respectively to check the TB bacilli by ultrasonic nebulization.Results The draining sputum rate of the second group( P <0 01)is obviousy higher than the first and the third.The sputum positive rate of the first group(22 1%)is obviously higher than the second group(6 8%) and is nearly the same with the third (14 2%).There is no difference in the effetive sputum positive sputum checking rate( P >0 05)among the three groups.Conclusion 3 6% salt water can both drain sputum from the 73 1% of the nonsputum patients and check tuberculosis from the 22 1% of the nonsputum patients,moreover,it's convenient and economical and can be used widely.