946例肺结核患者痰直接涂片镜检结果分析

Analysis of direct sputum smear microscopy results of 946 tuberculosis patients

目的:了解近两年肺结核患者痰涂片镜检情况,以便改善工作方法,提高结核病人的发现率,有效防治结核病。方法:对2010年-2011年登记管理且接受痰涂片检查的946例肺结核病患者资料进行分析。结果:肺结核病患者痰直接涂片镜检,检出抗酸杆菌(AFB)279例,阳性率29.5%。不同性别、年龄、地区的阳性率无明显差别;职业区别以民工阳性率较高(38.9%);标本性状以血痰涂片阳性检出率最高(64.0%)。结论:提高结核病的发现率,除加强宣传、督导等工作外,要从根本上保证痰涂片镜检的质量,才有利于提高结核病患者的发现率,尤其对涂阳患者的发现率至关重要。

Objective： To understand the sputum smear microscopy results of tuberculosis patients in recent two years, in order to improve the working procedure, increase the detection rate of TB and prevent TB effectively. Methods： The data of 946 tuberculosis patients, who were registered and accepted sputum smear detection during 2010 - 2011, were analyzed. Results： The acid -fast bacilli （AFB） was detected in 279 cases（29.5% ）. The positive rates of different genders, ages and regions had no significant difference. A higher positive rate was found in migrant workers （ 38.9% ） among various careers and the bloody sputum smear had the highest positive rate （64.0%）. Conclusion： In addition to stepping up the publicity and supervision, it is vital to guarantee the micros- copy quality of sputum smear to improve the detection rate of TB patients, particularly the detection rate of smear - positive patients.