结核菌素试验联合胸部X线透视在我校大学生肺结核筛查中的应用结果观察
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摘要
目的通过对本校大学生肺结筛查情况中,分析结核菌素实验联合胸部X线透视在该筛查中的临床效果及为肺结核防治提供临床依据。方法按照简单随机抽样选取本校2015年9月～2016年9月12588例大学生时进行胸部X现透视检查,并对疑似结核病的大学生进行结核菌试验(PPD),观察两种检查方式联合对我校学生肺结核筛查情况进行统计学分析。结果 X线检测肺部病灶患者男性为32例(0.25%),女性70例(0.56%),对比差异无统计学意义(P> 0.05);X线检查阳性不同性别大学生PPD试验结果显示,男性21.88%,女性17.14%,两组对比差异无统计学意义(P> 0.05)。不同地区检查结果显示:其中城市患者有49例(0.64%)。农村53例(1.08%),对比差异无统计学意义(P> 0.05);X线检查阳性不同性别大学生PPD试验结果显示,城市16.95%,农村20.93%,两组对比差异无统计学意义(P> 0.05)。结论胸部X线结合结核菌试验PPD对筛查和防治肺结核疾病具有重要的临床意义,该联合检查可及时发现隐性结核菌感染患者,已成为校园结核菌传染防治的重要的诊断措施。
Objective To analyze the clinical effect of tuberculin test combined with chest X-ray fluoroscopy in the screening of pulmonary nodules among college students and to provide clinical evidence for the prevention and treatment of pulmonary tuberculosis. Methods According to simple random sampling, 12588 undergraduates from September 2015 to September 2016 were selected for chest X-ray fluoroscopy. The suspected tuberculosis undergraduates were tested with purified protein derivative(PPD), and the results of tuberculosis screening were analyzed statistically. Results There were 32 males(0.25%) and 70 females(0.56%) with pulmonary lesions detected by X-ray. The difference was not statistically significant(P > 0.05). The results of PPD test showed that male was 21.88% and female was 17.14%. There was no significant difference between the two groups(P > 0.05). The results showed that there were 49 urban patients(0.64%) and 53 rural patients(1.08%). There was no significant difference between the two groups(P >0.05).PPD test results of different gender college students with X-ray test positive showed that there was no significant difference between urban(16.95%) and rural(20.93%) and two groups(P > 0.05). Conclusion Chest X-ray combined with tuberculosis test PPD has important clinical significance in screening and prevention of pulmonary tuberculosis. The combined examination can detect the patients with latent tuberculosis infection in time and has become an important diagnostic measure for the prevention and treatment of tuberculosis infection on campus.
Objective To analyze the clinical effect of tuberculin test combined with chest X-ray fluoroscopy in the screening of pulmonary nodules among college students and to provide clinical evidence for the prevention and treatment of pulmonary tuberculosis. Methods According to simple random sampling, 12588 undergraduates from September 2015 to September 2016 were selected for chest X-ray fluoroscopy. The suspected tuberculosis undergraduates were tested with purified protein derivative(PPD), and the results of tuberculosis screening were analyzed statistically. Results There were 32 males(0.25%) and 70 females(0.56%) with pulmonary lesions detected by X-ray. The difference was not statistically significant(P > 0.05). The results of PPD test showed that male was 21.88% and female was 17.14%. There was no significant difference between the two groups(P > 0.05). The results showed that there were 49 urban patients(0.64%) and 53 rural patients(1.08%). There was no significant difference between the two groups(P >0.05).PPD test results of different gender college students with X-ray test positive showed that there was no significant difference between urban(16.95%) and rural(20.93%) and two groups(P > 0.05). Conclusion Chest X-ray combined with tuberculosis test PPD has important clinical significance in screening and prevention of pulmonary tuberculosis. The combined examination can detect the patients with latent tuberculosis infection in time and has become an important diagnostic measure for the prevention and treatment of tuberculosis infection on campus.
引文
[1]延芸,王刚.26420名中学入学新生结核菌素试验结果分析[J].延安大学学报(医学科学版),2017,15(3):51-54.
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[5]童学成,陈国春,濮翔科,等.结核感染T细胞斑点试验对艾滋病合并肺结核的临床诊断价值[J].中华医院感染学杂志,2014, 24(14):3632-3634.
[6]王洪举,李德云,次仁顿珠,等.西藏林芝地区中小学生结核菌素试验调查分析[J].中国循证医学杂志,2014,14(6):671-673.
[7]江文云,邵继平,林秉崇.温岭市某中学学生肺结核聚集性疫情调查[J].中国学校卫生,2014,35(7):1097-1099.
[8]陈奇峰,高华强.某中学肺结核聚集性疫情调查[J].浙江预防医学,2014,26(8):824-826.
[9]王继业,徐玉萍,陆光辉,等.结核菌素试验配合胸部X线透视在大学生肺结核筛查中的临床应用[J].中华实验和临床感染病杂志(电子版),2015,9(2):106-108.
[10]梁成义,何中初,陈光英,等.结核菌素试验和胸部X线透视在我校大学生肺结核筛查中的联合应用[J].内蒙古医学杂志,2016, 48(6):737-738.
[11]董恩军,徐力红,张翠英,等.一起肺结核病聚集性疫情的流行病学调查[J].中国热带医学,2014,14(7):866-868.
[12]徐晓娟,华海琴,康慨.北京某高校新生卡痕检查和结核菌素试验及胸部X线摄影结果分析[J].中国校医,2016,30(11):813-814.
[13]李晓勇.结核菌素试验联合胸部X线透视在我校入学新生肺结核筛查中的应用[J].中西医结合心血管病电子杂志,2017,5(20):194-195.
[14]邹思思,谭理连.耐多药肺结核患者胸部X线影像学特征分析[J].山东医药,2015,55(3):46-48.
[15]林存智,许俊华,李金凤,等.健康体检者结核病筛查及结核菌素试验强阳性者10年内自然发病情况研究[J].中华健康管理学杂志,2015,9(1):69-72.
[16]何朝阳,郭知音,张秩铭,等.路桥区中小学新生结核菌素试验结果分析[J].浙江预防医学,2015,27(4):381-382,388.
[2]陈土祥,王鹏程.胸部CT和PPD试验检查在肺结核诊断的价值分析[J].中国农村卫生事业管理,2017,37(2):229-231.
[3]焦晓磊,刘传玉,王林,等.河南省肺结核流行趋势及病例发现方法分析[J].中华结核和呼吸杂志,2002,3(1):18-20.
[4]符立贤,陆国敢,王丽琼,等.117例HIV/AIDS病人合并肺结核的临床特点[J].中国艾滋病性病,2014,20(3):172-175.
[5]童学成,陈国春,濮翔科,等.结核感染T细胞斑点试验对艾滋病合并肺结核的临床诊断价值[J].中华医院感染学杂志,2014, 24(14):3632-3634.
[6]王洪举,李德云,次仁顿珠,等.西藏林芝地区中小学生结核菌素试验调查分析[J].中国循证医学杂志,2014,14(6):671-673.
[7]江文云,邵继平,林秉崇.温岭市某中学学生肺结核聚集性疫情调查[J].中国学校卫生,2014,35(7):1097-1099.
[8]陈奇峰,高华强.某中学肺结核聚集性疫情调查[J].浙江预防医学,2014,26(8):824-826.
[9]王继业,徐玉萍,陆光辉,等.结核菌素试验配合胸部X线透视在大学生肺结核筛查中的临床应用[J].中华实验和临床感染病杂志(电子版),2015,9(2):106-108.
[10]梁成义,何中初,陈光英,等.结核菌素试验和胸部X线透视在我校大学生肺结核筛查中的联合应用[J].内蒙古医学杂志,2016, 48(6):737-738.
[11]董恩军,徐力红,张翠英,等.一起肺结核病聚集性疫情的流行病学调查[J].中国热带医学,2014,14(7):866-868.
[12]徐晓娟,华海琴,康慨.北京某高校新生卡痕检查和结核菌素试验及胸部X线摄影结果分析[J].中国校医,2016,30(11):813-814.
[13]李晓勇.结核菌素试验联合胸部X线透视在我校入学新生肺结核筛查中的应用[J].中西医结合心血管病电子杂志,2017,5(20):194-195.
[14]邹思思,谭理连.耐多药肺结核患者胸部X线影像学特征分析[J].山东医药,2015,55(3):46-48.
[15]林存智,许俊华,李金凤,等.健康体检者结核病筛查及结核菌素试验强阳性者10年内自然发病情况研究[J].中华健康管理学杂志,2015,9(1):69-72.
[16]何朝阳,郭知音,张秩铭,等.路桥区中小学新生结核菌素试验结果分析[J].浙江预防医学,2015,27(4):381-382,388.