淄博市2008年-2013年肺结核痰涂片镜检结果分析  

Analysis of tuberculosis sputum smear microscopy in Zibo city from 2008 to 2013

作　　者：李源[1] 高风华[1] 

机构地区：[1]淄博市疾病预防控制中心,山东淄博255026

出　　处：《中国卫生检验杂志》2015年第10期1649-1651,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的了解淄博市2008年-2013年肺结核抗酸杆菌痰涂片镜检结果及变化情况,分析涂阳肺结核患者特征。方法从中国结核病管理信息系统、肺结核患者登记本、结核病实验室登记本中收集数据资料,对淄博市6年来肺结核患者痰涂片镜检结果进行描述性流行病学分析。结果共对40 908份痰标本进行检查,查痰率为61.79%,涂阳肺结核患者5 327例,涂阳率为13.02%,2008年-2013年呈逐年下降趋势;60岁~79岁年龄组患者数最多,占涂阳肺结核患者的30.30%,其次为20岁~39岁年龄组,占23.43%;男性肺结核患者数多于女性,男、女患者比平均为1.82∶1;干酪样脓性痰的阳性检出率最高为18.53%,唾液为不合格痰标本,阳性检出率最低为1.18%。结论现代结核病防控策略使痰涂片检查结果更加符合客观实际,查痰率逐年提高,阳性检出率逐步回归理性;痰标本的留取质量与性状直接影响阳性检出结果;男性与老年肺结核患者是今后防控的重点人群。Objective To explore the results and changes of tuberculosis acid- fast bacilli sputum smear microscopy and ana- lyze the characteristics of smear -positive tuberculosis（TB） patients in Zibo city from 2008 to 2013. Methods Data was col- lected from Chinese TB management information system, tuberculosis patients registration book and TB laboratory registeration book. And sputum smear microscopy results in the last 6 years from Zibo were analyzed by descriptive epidemiology. Results A total of 40 908 sputum samples were detected with the rate of 61.79% , and 5 327 cases were smear - positive tuberculosis patients, with the rate of 13.02% and the declining trend from 2008 to 2013. 60 -79 years age group had the maximum number of smear - positive tuberculosis patients, accounting for 30.30%, followed by 20 - 39 year age group, accounting for 23.43%. Male patients were more than women, with the male/female ratio of 1.82 ＂ 1. Cheesy purulent sputum had the highest positive rate of 18.53% , while the positive rate of saliva, unqualified sputum specimens, were as low as 1.18%. Conclusion Modern TB control strategy makes sputum smear results more in line with the objective reality. Sputum rate increased year by year, and the positive rate gradually return to be rational. The quality and character of sputum specimens directly affec~ the positive results. Male and old populations are the focus for future TB prevention and control.

关 键 词：肺结核 痰涂片镜检 涂阳率 

分 类 号：R521[医药卫生—内科学]