血小板计数与血沉检测在社区结核病筛查中的价值

The value of platelet count and erythrocyte sedimentation rate test in community tuberculosis screening

目的 探讨血小板计数与血沉检测在社区结核病筛查中的价值。方法 对县域医共体内公共卫生检查数据进行分析,抽取血沉(mm/h)+血小板计数(万/mm3)≥80者,结合既往史、现病史及胸部X线资料进行分析,观察结核病筛查结果。结果 共筛查公共卫生健康体检者111489人,男性56721人,女性54768人,共筛查到血沉(mm/h)+血小板计数(万/mm3)≥80者共1589例,占比1.43%。其中<18岁909例,人数比例最高,且以急性炎症性疾病居多;成人(≥18岁)680例。成人中,年龄≥80岁109例(结核病71例,占65.14%);70~79岁195例(结核病65例,占33.33%);60~69岁178例(结核病37例,占20.79%);50~59岁106例(结核病17例,占16.04%);30~49岁76例(结核病6例,占7.89%);18~29岁16例(结核病3例,占18.75%),随着年龄增大,结核病检出率呈上升趋势,各年龄段比较有显著性差异(P<0.01)。男性286例(结核病101例,占35.31%),女性394例(结核病98例,占24.87%),男性的检出率明显高于女性,有显著性差异(P<0.01)。结论 血小板计数与血沉在社区结核病筛查中有一定价值,血沉(mm/h)+血小板计数(万/mm3)≥80者结核病可能性大,尤其是60岁以上患者价值更大。

Objective To explore the value of platelet count and erythrocyte sedimentation rate test in community tuberculosis screening.Methods The data of public health physical examination in county medical community were analyzed.Patients with erythrocyte sedimentation rate(mm/h)+platelet count(10000/mm3)≥80 were selected,and the screening results of tuberculosis were observed in combination with previous history,present history and chest X-ray data.Results A total of 111489 public health examination subjects were screened,including 56721 males and 54768 females.A total of 1589 patients with erythrocyte sedimentation rate(mm/h)+platelet count(10000/mm3)≥80 were screened,accounting for 1.43%.Of these,909 cases were<18 years of age,which had the highest proportion of people and were characterized by acute inflammatory diseases;680 cases were adults(≥18 years of age).Among adults,109 cases were aged≥80 years(71 cases of tuberculosis,accounting for 65.14%);195 cases were aged 70-79 years(65 cases of tuberculosis,accounting for 33.33%);178 cases were aged 60-69 years(37 cases of tuberculosis,accounting for 20.79%);106 cases were aged 50-59 years(17 cases of tuberculosis,accounting for 16.04%);76 cases were aged 30-49 years(6 cases of tuberculosis,accounting for 7.89%);16 cases were aged 18-29 years(3 cases of tuberculosis,accounting for 18.75%),as age increasing,the detection rate of tuberculosis was on the rise,and there was a significant difference in the comparison of all age groups(P<0.01).There were 286 cases of males(101 cases of tuberculosis,accounting for 35.31%)and 394 cases of females(98 cases of tuberculosis,accounting for 24.87%),and the detection rate of males was significantly higher than that of females,with a significant difference(P<0.01).Conclusion Platelet count and erythrocyte sedimentation rate are of certain value in rural TB screening.Patients with erythrocyte sedimentation rate(mm/h)+platelet count(10000/mm3)≥80 are more likely to be tuberculosis patients,especially those over 60 years old.