肺结核患者结核抗体和痰涂片检验效果对比

Comparison of Antibody Test and Sputum Smear for Diagnosis of Tuberculosis

目的研究肺结核患者结核抗体和痰涂片的检验效果。方法将30例疑似肺结核患者按检验方法的不同分为试验组和对照组,试验组15例患者用肺结核抗体检验肺结核,对照组15例患者用痰涂片检验,比较2组患者的检验效果。结果试验组患者的阳性检出率为93.33%,对照组患者的阳性检出率为53.33%,试验组的检验准确性为46.67%,对照组的检验准确性为93.33%,2组比较差异有统计学意义(P<0.05)。结论在对肺结核进行检验时,肺结核抗体的检验效果要明显好于痰涂片检验,对于痰涂片为阴性的检查,能够有效减少漏诊和误诊率。

Objective To study the efficacies of antibody test and sputum smear in the diagnosis of pulmonary tuberculosis.Methods Thirty patients with suspected pulmonary tuberculosis who were treated in the designated medical institutions were assigned to receive either tuberculosis antibody test（experimental group,n=15）or sputum smear microscopy（control group,n=15）.The outcomes were compared between the two groups.Results The positive rate and accuracy of detection were,respectively,93.33% and 46.67%in experimental group,and 53.33% and93.33%in control group.Differences were significant between the two groups（P0.05）.Conclusion Antibody test is superior to sputum smear for diagnosing pulmonary tuberculosis.It can effectively reduce the rates of missed diagnosis and misdiagnosis in smear-negative patients.