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目的了解宁远县结核病抗酸杆菌(AFB)痰涂片检查情况,采取有效措施,提高结核病人的发现率。方法统计分析2005-2007年宁远县结核病AFB痰涂片检查资料。结果2005-2007年AFB痰涂片镜检共4289例,涂阳肺结核病例1036例,总涂阳率为24.2%;涂阳率以35～54岁组最高(28.0%),≤14岁组最低(3.7%)(P<0.01),男性涂阳率(26.8%)高于女性(18.9%)(P<0.01);县城与乡镇、汉族镇与少数民族乡之间AFB阳性检出率差异有统计学意义(均P<0.01)。结论宁远县青壮年是AFB痰涂片镜检的重点人群。应加大结防经费的投入,确保乡镇(特别是少数民族乡)查痰点的建立和正常运转。
Objective To understand the sputum smear of acid fast bacilli (AFB) in Ningyuan County and to take effective measures to improve the detection rate of tuberculosis patients. Methods Statistical analysis of Ningbian tuberculosis AFB sputum smear data from 2005 to 2007 was conducted. Results A total of 4289 cases of AFB sputum smear microscopy were observed in 2005-2007. A total of 1036 cases of smear positive pulmonary tuberculosis were smear positive, with a positive rate of 24.2%. The smear positive rate was highest in the group of 35-54 years old (28.0%), and lowest in the group of ≤14 years (3.7%) (P <0.01), male smear positive rate (26.8%) was higher than that of female (18.9%) (P <0.01). There were differences in the detection rate of AFB between county and township, Han nationality and ethnic minority township Statistical significance (all P <0.01). Conclusion Young adults in Ningyuan County are the focus of AFB sputum smear microscopy. Investment in prevention and control should be stepped up to ensure the establishment and normal operation of sputum sites in townships (especially ethnic minority townships).