1100例肺结核患者分析

目的为分析叙永县肺结核流行情况,本文对1100例肺结核患者从临床及流行病学进行系统分析。因症就诊975例（88.64%）。农村577例（52.45%）,城镇523例（47.55%）,农村高于城镇。人群分布：农民485例（44.09%）,高于其他人群。方法 1100例肺结核病患者,痰涂片检查阳性289例,涂片阳性率为26.27%。X线分型：Ⅲ型肺结核患者850例（77.27%）,Ⅲ型肺结核患者高于其它类型。结果 1100例肺结核患者中,肺部有空洞114例（10.36%）,无空洞986例（89.64%）,以肺部无空洞患者为主。对114例肺部有空洞患者及986例肺部无空洞患者进行实验室检查,涂片阳性分别为74例和215例,涂片阳性率分别为64.91%和21.80%,二者阳性率有显著性差异。初治、复治：1100例肺结核患者中,初治864例（78.55%）,复治236例（21.45%）,农村患者146例,城镇患者90例,农村高于城镇。结论通过以上分析,为基层结核病防治、健康教育、医患合作、痰菌检查、实验室质量控制、结核病发现率和治愈率、有效地控制结核病流行等方面提供一定的借鉴。

Analysis of 1100 case of pulmonary tuberculosis

Objective to analyze the prevalence of tuberculosis xuyong County,this article on 1100 cases of tuberculosis patients in the clinical and epidemiologicai analysis of the system.Symptomatic 975（88.64%）.Rural 577（52.45%）,the town of 523（47.55%）higher than the ruraltowns.Population：485 cases of farmers（44.09%）higher than the rest of the population.Methods 1100 cases of tuberculosis patients,sputum smear-positive cases of 289,smear-positive rate 26.27%.X-ray classification：iii 850 cases of pulmonary tuberculosis patients（77.27%）,iii tuberculosis patients than other types.Results 1100 cases of pulmonary tuberculosis patients,patients with empty 114（10.36%）,no empty 986 cases（89.64%）to patients with pulmonary cavity-free.The 114 cases lung cavity 986 cases of pulmonary patients with and without holes with laboratory,smear-positive cases and respectively 74215 cases,smear-positive rate 64.91%and 21.80%,both positive rate has significant differences.Novo,retreated：1100 cases of tuberculosis patients,patients with newly diagnosed 864（78.55%）,retreated 236 cases（21.45%）,146 cases,patients with rural towns with more than 90 cases,rural towns.Conclusion from the above analysis,the primary tuberculosis prevention and control,health education,and patient cooperation 1,sputum examination,laboratory quality control,and cure of tuberculosis detection rate,the effective control of tuberculosis and provide a reference.