广西地区国家规划结核病防治项目疾病分布情况及实验室检测结果分析

发布时间：2018-01-19 23:41

本文关键词： 国家规划结核病(TB) 合并感染 HIV 真菌(FV)　出处：《现代预防医学》2015年08期 　论文类型：期刊论文

【摘要】：目的了解本地区国家规划结核病防治项目的疾病分布和实验室诊断情况。方法选取2013年1月-2013年11月在某院结核门诊及住院部就诊的国家规划结核病防治项目的病人960人次,观察所有病人的疾病分布情况,并对各项实验室检测指标进行分析,提出相关研究结果。结果在收集的960例病人中,其中男性739例,占76.98%,女性221例,占23.02%,男女患病率比较,其差异有统计学意义,P0.05;年龄分布情况,0~20岁28例,21~30岁132例,31~40岁141例,41~50岁168例,51~60岁191例,61~70岁189例,71岁以上139例。从年龄分布看,40岁以下发病率较低,发病例数为273例,占28.44%,40岁以上发病率较高,发病例数687例,占71.56%,2个年龄段比较,差异有统计学意义,P0.05;在疾病分布方面,单纯结核病感染731例,占76.14%,结核病合并HIV感染的21例,占2.19%,合并真菌感染196例,占20.42%,结核病合并HIV及真菌感染12例,占1.25%。实验室检测中,有87例肝功能相关指标异常,占9.06%,有192例血常规相关指标异常,占20.00%,合并感染患者的肝功能、血常规相关指标异常指数较单纯感染的高,比较结果差异均有统计学意义,P0.05。结论本地区国家规划结核病防治项目病人发病主要以高年龄为主;合并感染患者仍占较高的比例,且其肝功能、血常规相关指标异常指数较单纯感染高,提示临床防治工作应合理检查,综合分析,从而更好地研究治疗方案,以达到最佳的治疗效果。
[Abstract]:Objective to investigate the disease distribution and laboratory diagnosis of TB prevention and treatment projects in China. Methods from January 2013 to November 2013, we selected a national plan for TB outpatient and inpatient visits in a hospital. There were 960 TB patients. The disease distribution of all patients was observed, and the laboratory indexes were analyzed, and the related results were put forward. Results among the 960 patients collected, 739 were male (76.98%). 221 cases (23.02%) were female, and the difference was statistically significant (P 0.05). Age distribution: a total of 28 cases aged 20 years old and 132 cases aged 31 to 30 years, 141 patients aged 31 to 40 years old, 168 patients aged 41 to 50 years old, 168 patients aged 51 to 60 years old 191 cases. The age distribution of 189 cases over 71 years old was 139. The incidence of the disease under 40 years old was lower, and 273 cases occurred, accounting for 28.4444 years old and over 40 years old. There were 687 cases (71.56%), there were significant differences between the two age groups (P 0.05). In terms of disease distribution, there were 731 cases of simple tuberculosis infection (76.14%), 21 cases of tuberculosis complicated with HIV infection (2.19%) and 196 cases of fungal infection (20.42% cases). There were 12 cases (1.25%) of tuberculosis complicated with HIV and fungal infection. In laboratory examination, there were 87 cases with abnormal liver function, 9.06 cases with abnormal liver function and 192 cases with abnormal blood routine related indexes. The liver function of patients with infection and the abnormal index of blood routine related indexes were higher than those of simple infection, and the differences were statistically significant. P0.05.Conclusion the patients with TB prevention and control project in our country are mainly in the high age group. The proportion of patients complicated with infection is still high, and the abnormal index of liver function and blood routine index is higher than that of simple infection, which suggests that clinical prevention and treatment should be reasonably checked and comprehensively analyzed so as to better study the treatment plan. In order to achieve the best therapeutic effect.
【作者单位】：广西南宁市第四人民医院检验科;广西艾滋病临床治疗中心;
【基金】：中国全球基金广西结核病项目一期项目(GF-CHN-GXTB-14-11) 南宁市重大科技资助项目(201109047C) 南宁市科学研究与计划项目资助课题(20123164) 广西卫生厅自筹经费项目(Z20120621)
【分类号】：R52
【正文快照】： 近年来,结核病的发病率有着逐年升高的趋势,结核病由于机体抵抗力的低下容易受到多种细菌、病毒的侵袭,从而发生合并感染,累及全身脏器,危害身体健康。结核病的发生严重影响了人们的工作生活,也严重危害了人们的生命安全,结核病的防治工作极其严峻,防治压力较大,因此,了解结核

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