2005～2010年西宁市城东区肺结核患者痰涂片镜检监测分析

目的探索西宁市城东区肺结核患者痰涂片镜检特点。方法对2005～2010年期间西宁市城东区肺结核患者痰涂片的镜检检测结果进行回顾性分析。结果痰涂片镜检结果方面,2005~2010年初诊涂阳率平均为22.17%,复诊涂阳率平均为1.21%,二者比较差异具有统计学意义(χ2=58.60,P﹤0.01);在不同性别涂阳率方面,男性病例涂阳率为27.01%,女性为13.85%,二者比较男性涂阳率显著高于女性涂阳率,差异有统计学意义(χ2=29.40,P﹤0.01);在不同年龄涂阳率方面,各年龄组病例涂阳率比较差异有统计学意义(P﹤0.01);不同痰性状涂阳率方面,最高阳性率为脓性痰的19.87%,最低为水样痰的1.81%,不同痰性状之间的涂阳率比较差异有统计学意义(P﹤0.01)。结论应加强肺结核患者痰标本采集的质量控制,以提高结核杆菌的检出率,尤其是青壮年男性患者,应作为镜检的重点人群。

Analysis of the monitoring for tuberculosis patients with sputum smear microscopy in the East District of Xining from 2005-2010

OBJECTIVE To explore the sputum smear microscopy features for tuberculosis patients in the East District of Xining.METHODS The tuberculosis sputum smear microscopy results in the East District of Xining from 2005 to 2010 were analyzed retrospectively.RESULTS In the sputum smear microscopy results,the average rate of newly diagnosed smear-positive during 2005-2010 was 22.17%,the average rate of re-smear was 1.21%,there was a significant difference(χ2 = 58.60,P﹤0.01).The smear-positive rate in different sexes,male smear-positive rate was 27.01%,the female was 13.85%.The male smear-positive rate was significantly higher than the rate of smear-positive for women,the difference was statistically significant(χ2 = 29.40,P﹤0.01).The smear-positive rates at different ages,the difference in each age group for smear-positive cases was significantly(P﹤0.01).The smear-positive rate of different traits of sputum,the highest positive rate was 19.87% of purulent sputum,rate of water sputum samples was 1.81%.The smear-positive rates between different traits of sputum were relatively significant(P﹤0.01),there was a statistical significance.CONCLUSION The quality control of sputum specimen collection for tuberculosis patients should be strengthened to improve the detection rate of bacteria,especially the young male patients,should be the focus of the crowd with microscopy.