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目的了解凭祥市艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的结核病患病情况,以便及时治疗,防止传播和蔓延。方法对2005—2009年凭祥市疾病预防控制中心自愿咨询检测门诊新发现的HIV/AIDS患者,通过拍摄X线胸片、痰抗酸杆菌染色涂片检查等方法进行结核病筛查。结果 356例HIV/AIDS患者中,检出活动性肺结核51例,检出率为14.33%;其中,男性47例,检出率为19.18%(47/245),女性4例,检出率为3.60%(4/111),男性检出率高于女性(P﹤0.01)。30～49岁年龄组的检出率最高,共检出31例,占检出总数的60.78%。痰涂片阳性7例,涂阳患病率为1.97%(7/356)。结论 HIV/AIDS患者是感染结核病的高危人群,应定期进行结核病筛查,做到早发现、早治疗。
Objective To understand the prevalence of tuberculosis among people living with HIV and AIDS in Pingxiang City (HIV / AIDS) so that they can be treated promptly and prevented from spreading and spreading. Methods HIV-AIDS patients newly discovered in the Voluntary Counseling and Testing Clinic of Pingxiang CDC from 2005 to 2009 were screened by X-ray and sputum acid-fast bacilli smear. Results Among the 356 HIV / AIDS patients, 51 cases of active pulmonary tuberculosis were detected, the detection rate was 14.33%. Among them, 47 cases were male, the detection rate was 19.18% (47/245) and the female was 4, the detection rate was 3.60% (4/111), the detection rate of males was higher than that of females (P <0.01). The highest detection rate was found in 30-49 age group, 31 cases were detected, accounting for 60.78% of the total detected. Sputum smear positive in 7 cases, the prevalence of smear was 1.97% (7/356). Conclusion HIV / AIDS patients are at high risk of TB infection. Screening for tuberculosis should be carried out on a regular basis to achieve early detection and early treatment.