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目的 :为了解目前部队医疗机构结核病实验室诊断状况 ,提高部队结核病的预防水平。方法 :设计统一的调查表 ,由专人查阅病案 ,对各项实验室检测项目、检查次数、结果等逐项登记 ,输入微机统计分析。结果 :调查的 15所医院中 ,开展涂片法的有 15所 ,培养法 10所 ,PCR法 9所 ,抗体检测 6所。涂片、培养、PCR及抗体检测的阳性率分别为 19.5%、10 .0 %、4 3.5%和36.4 % ,其中专科医院阳性率最高。部队肺结核病人以Ⅲ型为主 ,涂阳、培养率也高于其它类型的结核病。结论 :目前部队医疗机构开展结核病实验室诊断方法较少 ,阳性率较低。应加强实验室管理 ,提高检测技术水平 ,推进部队结核病控制工作的发展
OBJECTIVE: To understand the current status of tuberculosis laboratory diagnosis in military medical institutions and to increase the level of prevention of tuberculosis in military units. Methods: To design a unified questionnaire, access to medical records by hand, the various laboratory test items, check the number of results, such as one by one registration, enter the computer statistical analysis. Results: Of the 15 hospitals surveyed, 15 were smear-based and 10 were cultured by PCR. Nine were detected by PCR and 6 by antibody test. The positive rates of smear, culture, PCR and antibody detection were 19.5%, 10.0%, 3.55% and 36.4% respectively, of which the highest positive rate was in specialty hospitals. Force tuberculosis patients to type Ⅲ-based, smear, culture rate is also higher than other types of tuberculosis. Conclusion: At present, there are few diagnostic methods for TB laboratories in military medical institutions, and the positive rate is low. Laboratory management should be strengthened to raise the level of testing technology and promote the development of tuberculosis control in the armed forces