肺结核患者结核抗体与痰涂片检验对比分析

Comparative Analysis of Tuberculosis Antibody and Sputum Smear Test in Patients with Pulmonary Tuberculosis

目的探讨比较肺结核患者结核抗体与痰涂片检验的结果。方法选取2013年1月—2015年10月期间该院收治的95例肺结核患者予以分组研究,按照检验方法不同分为2组,即对照组(n=45)与研究组(n=50)。对照组患者给予痰涂片检验,研究组患者给予结核抗体检验,对两组患者的检验结果进行观察对比。结果对照组患者的阳性检出率是28.9%,研究组患者的阳性检出率是76.0%,两组比较差异有统计学意义(P<0.05)。对照组患者检验准确性是91.1%,研究组患者检验准确性是70.0%,2组患者对比差异有统计学意义(P<0.05)。结论在肺结核患者临床检验中,结核抗体检验效果优于痰涂片检验,针对痰涂片检验阴性患者而言,可以显著降低临床误诊率与漏诊率,是一种值得临床推广应用的检验方式。

Objective To compare the results of tuberculosis antibody and sputum smear test in patients with pulmonary tuberculosis. Methods 95 cases of pulmonary tuberculosis admitted to our hospital from January 2013 to October 2015 were divided into 2 groups according to the test method, namely the control group（n=45） and the study group（n=50）. The control group were given sputum smear test, the study group were given tuberculosis antibody test, the test results of 2 groups of patients were observed and compared. Results The positive rate of control group was 28.9%, the positive rate of the study group was 76%, the difference between the 2 groups was statistically significant（P〈0.05）. The accuracy of the control group was 91.1%, the accuracy of the study group was 70%, the difference between the 2 groups was statistically significant（P〈0.05）. Conclusion In patients with pulmonary tuberculosis clinical examination, tuberculosis antibody test results is better than that of sputum smear test, for the patients with sputum smear negative, can significantly reduce the clinical misdiagnosis and missed diagnosis rate and is worthy of clinical popularization and application of the test.