2011-2012年青海省可疑肺结核患者痰检情况分析  

Analysis on the smear examination of tuberculosis suspects in Qinghai province from 2011-2012

作　　者：李忠玖[1] 李永盛[1] 晁秀珍 马斌忠[1] 

机构地区：[1]青海省疾病预防控制中心,西宁810007

出　　处：《医学动物防制》2014年第2期145-147,150,共4页Journal of Medical Pest Control

摘　　要：目的分析2011-2012年青海省可疑肺结核患者痰涂片检查情况,找出痰检工作中存在的问题,提出改进意见。方法收集2011-2012年青海省46个县级疾病预防控制中心登记的可疑肺结核患者痰涂片检查数据进行分析。结果 2011-2012年共登记可疑肺结核患者36 204例,对其中34 785例进行了结核菌痰涂片检查,痰检率为96.08%。检出涂阳肺结核患者4 795例,检出率为13.78%;2011年和2012年涂阳患者检出率分别为14.22%和13.35%,差异有统计学意义(χ2=5.50,P<0.05)。镜检97 358张痰涂片,痰标本质量合格率为82.04%,共检出11 161张阳性涂片和86 197张阴性涂片,阳性片检出率为11.46%;不同性状痰标本的涂片阳性检出率差异有统计学意义(χ2=5429.48,P<0.001);涂片数和阳性检出数以第二季度最多,其次为第三季度和第一季度,第四季度最少;痰涂片阳性检出率在第三季度最高,为12.28%,其次分别为第一季度、第二季度和第四季度,检出率分别为11.68%、11.02%和10.90%,不同季度痰涂片标本阳性检出率差异有统计学意义(χ2=29.71,P<0.001);农业区登记的涂片数和阳性检出数最多,分别占总涂片数和阳性检出数的50.43%和51.25%,其次为牧业区,城镇最少;痰涂片阳性检出率城镇最高,为15.47%,明显高于牧业区和农业区,不同地区痰涂片标本阳性检出率差异有统计学意义(χ2=408.12,P<0.001)。结论继续保持95%左右的结核病可疑症状者痰检率;注意收集合格痰标本;加强一、二、四季度痰涂片检查质量;加强牧业区、农业地区痰涂片检查质量。Objective To analyze the smear slides examination of the tuberculosis （TB） suspects in Qinghai province from 2011 to 2012 and discover the problem （s） and provide improvement suggestions. Methods The data of TB suspects smear slides examination in smear slides examination registration book of 46 county level TB laboratories was collected and analyzed. Results 36 204 TB suspects were registered and 34 785 ex- amined , the smear slides examination rate was 96.08%. 4 795 smear positive TB patients were detected, The detection rate is 13.78%. The smear positive rate were 14.22% and 13.35% in 2011 and 2012 respec- tively, the smear positive rate was statistically meaningful （X2 = 5.50, P 〈 0. 05 ） . 97 358 pieces of smear slides were examined and the smear quality qualified rate was 82.04% , 11 161 positive slides and 86 197 negative slides was checked out , the positive smear slides check out rate was 11.46% ; the positive smear slides check out rate of different quality smear samples showed statistical meaning （X： = 5429.48, P 〈 0. 001 ） ; the second quarter account for main part of slides number and positive slides, the third and first quarter account for secondary and the fourth quarter account for the least; the positive slides check out rate was highest in third quarter , 12.28% , and the positive slides check out rate were 11.68% , 11.02% and 10.90% in first , second and fourth quarter respectively, the positive slides check out rate in different quarter showed statistical meaning （X2 = 29.71, P 〈 0. 001 ） ; the agricultural district account for main part of total slides number and positive slides, 50. 43% and 51.25% respectively, the pastoral region and township area account for medium and township account for the least; the positive slides check out rate was highest in township area, 15.47%, obviously higher than pastoral region and agricultural district , the positive slides in dif- ferent region showed statistieal meaning （X2 = 408.12, P 〈 0. 001 ） . Conclusions Keep the sm

关 键 词：结核病 痰涂片 检查 分析 

分 类 号：R521[医药卫生—内科学]