艾滋病病毒感染者和艾滋病患者中结核病筛查结果分析

目的为掌握艾滋病病毒感染者和艾滋病患者中结核病的患病情况及发病趋势,以便对结核病和艾滋病双重感染者开展积极防治。方法对上蔡县登记在册的HIV/AIDS人群进行症状询问、胸部拍片、痰涂片试验和痰培养。结果应检对象6100人,实检5863人,受检率为96.1%。发现活动性肺结核28例,肺结核患病率为477.6/10万;其中男性检出率为793.6/10万,女性检出率为193.5/10万,经!2检验差异有统计学意义。30、40岁年龄组检出率最高,占总检出人数的78.6%。痰涂片阳性13例,涂阳患病率为221.0/10万。结论HIV/AIDS人群是感染结核病的高危人群,应定期进行结核病筛查,做到早期发现,早期治疗;加强对该人群的结核病预防宣传教育。

An analysis of the screening results of tuberculosis in patients with HIV/AIDS

Objective The present analysis was conducted to ascertain the trends of HIV-TB coinfection in patients with HIV/AIDS in order t0 facilitate the prevention and control of HIV-TB coinfection．Methods All the registered HIV/AIDS patients were screened through symptoms，chest X-ray films，sputum smears and cultures．Results 96.1％(5863/6100)of all the registered HIV/AIDS patients actually received the screening tests，which found 28 cases of active tuberculo-sis(477.6/lakh)．The detection rate was 793.6/lakh among males and 193.5/lakh among females with a statistically significant difference between the sexes confirmed by X2 test．It was found the rate was highest among those in 30-and 40-year age groups．Accounting for 78.6％ of the total that were detected to have tuberculosis．Sputum smear was positive in 13 cases with a positive smear rate of 221.0/lakh．Conclusion HIV/AIDS patients．Of high-risk population for TB infec-tion，should be regularly screened for TB for early detection and early management．Teaching the-ses patients the prevention of TB need to be strengthened．