天水市HIV/AIDS病人结核病筛查结果分析  

Tuberculosis screening in HIV-infected/AIDS patients in Tianshui city

作　　者：李江红[1] 焦永明[1] 辛瑞虎 贺小文[1] 卢艳[1] 张雅静[1] 张玲[1] 王一鸣[1] 

机构地区：[1]甘肃省天水市疾病预防控制中心,甘肃天水741000

出　　处：《中国艾滋病性病》2015年第5期427-428,共2页Chinese Journal of Aids & STD

摘　　要：目的了解天水市艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人(简称HIV/AIDS病人)合并结核病的情况。方法对天水市现存活的221例HIV/AIDS病人,通过结核病可疑症状问卷、拍摄X线胸片、痰抗酸杆菌染色涂片检查等方法,进行结核病的筛查和诊断。结果天水市现存活的221例HIV/AIDS病人中,检出活动性肺结核28例,检出率为12.67%。检出率女性高于男性,年龄大的高于年龄小的,CD+4T淋巴细胞(简称CD4细胞)计数值低的高于CD4细胞值高的。经卡方检验,不同性别和CD4细胞计数的差异有统计学意义(P<0.05)。结论天水市HIV/AIDS病人合并感染结核病的比例较高,应定期对艾滋病病人进行结核病筛查。AObjective To understand the HIV-infected and AIDS （HIV/AIDS） patients co-infected with tuber- culosis in Tianshui city. Methods To screen and diagnose tuberculosis among 221 cases living with HIV/AIDS by questionnaire, x-ray, sputum acid-fast bacillus （AFB） smear. Results A total of 221 cases living with HIV/AIDS, 28 cases with active tuberculosis were detected, accounting for 12.67%, detectable rate in women was higher than men, the older was higher than the younger, low CD＋ T lymphocytes （CD4 cells） counts were higher than high CD4 cell counts. There were statistically significant differences in gender and in CD4 cell by Chi-square test （P〈0.05）. Conclusion The ratio of HIV/AIDS patients complicated with tuberculosis was high in Tianshui city, HIV/AIDS patients should he regularly screened for TB.

关 键 词：艾滋病病毒感染者/艾滋病病人 结核病 筛查 

分 类 号：R373.9[医药卫生—病原生物学] R512.91[医药卫生—基础医学]