艾滋病病毒感染者中肺结核的患病情况分析  

Prevalence of TB among HIV positive patients

作　　者：廖庆华[1] 钟球[1] 周琳[1] 吴惠忠[1] 李建伟[1] 蒋莉[1] 

机构地区：[1]广东省结核病防治研究所,广州510630

出　　处：《广东医学》2010年第15期1926-1927,共2页Guangdong Medical Journal

基　　金：国家"十一五"重大传染病专项资助(编号:2008ZX10003-007)

摘　　要：目的分析艾滋病病毒感染者中肺结核的患病情况,探索HIV/TB双重感染的相关影响因素。方法对经实验室确诊的艾滋病病毒感染者进行简单问卷调查和胸部X线摄片,对180例艾滋病病毒感染者的年龄、咳嗽、吸毒相关因素进行分析。结果 180例艾滋病病毒感染者中,有74例胸部X线表现异常,异常率41.1%。肺部阴影以上肺野为主,病灶以渗出性和增殖性病变为主。19例艾滋病病毒感染者有活动性肺结核病变表现,活动性肺结核患病率为10.5%。肺结核患病组的咳嗽时间为(7.7±6.3)个月,无肺结核组的咳嗽时间为(5.3±3.7)个月,提示对于长时间咳嗽的艾滋病病毒感染者应注意是否患有肺结核(t=2.13,P=0.036)。结论艾滋病病毒感染者中结核病发病率较普通人群高,咳嗽、咳痰两周以上更应注意筛查结核病。Objective To assess the prevalence of TB among HIV positive patients and the assoicated factors of HIV/TB.Methods Questionnaires and chest X-ray were preformed in 180 laboratory-proven HIV positive patients for analysis of associated factors.Results Abnormal chest X-ray was observed in 74 HIV positive patients with upper lung field lesions in most cases.The prevalence rate of active tuberculosis was 10.5%.Higher incidence of persisted cough was observed in HIV patients with TB comparing with those without TB（7.7±6.3 vs 5.3±3.7,t=2.13,P=0.036）.Conclusion HIV positive patients have higher prevalence of TB.TB screening should be performed in HIV positive patients with cough and expectoration for more than 2 weeks.

关 键 词：艾滋病 结核病 双重感染 

分 类 号：R512.91[医药卫生—内科学]