【摘要】：目的分析1494例結核菌培養(yǎng)陽性結核病患者臨床資料,為結核病的預防和控制提供參考依據(jù)。方法收集2012年1月-2015年12月遵義醫(yī)學院附屬醫(yī)院門診和住院所有4486例送檢結核菌培養(yǎng)患者中確診的1494例菌陽結核病患者臨床病例資料進行分析。結果 1494例菌陽結核病患者中,男性占59.6%,女性占40.4%;≤18歲占8.9%,19~35歲占20.6%,36~60歲占36.1%、60歲占34.4%;居住在城鎮(zhèn)占42.8%,農(nóng)村占57.2%。送檢的標本中痰液、支氣管鏡刷檢物或灌洗液、經(jīng)皮肺穿刺物、尿液、創(chuàng)面分泌物及膿腫/包塊/淋巴結穿刺物、心包積液、腦脊液、腹水、胸膜組織和胸水的陽性檢出率分別為42.2%、46.3%、47.6%、24.3%、37.2%、33.3%、20.1%、8.7%、26.2%、9.6%,總陽性檢出率為33.3%。1 494例菌陽結核病患者中,初治者占77.9%,復治者占22.1%;不同特征菌陽結核病患者比較,不同性別、年齡和居住地菌陽結核病患者初治復治分布差異均有統(tǒng)計學意義(均P0.01);初治者中耐多藥患者占0.52%,低于復治者中的12.12%,差異有統(tǒng)計學意義(X~2=116.05,P0.01)。結論菌陽結核病患者男性多于女性,中老年患者高于中青年患者,農(nóng)村高于城鎮(zhèn);初治結核病患者較復治患者多,復治患者耐多藥比例較初治患者高。
[Abstract]:Objective to analyze the clinical data of 1494 tuberculosis patients with positive culture of tuberculous bacilli and to provide reference for the prevention and control of tuberculosis. Methods from January 2012 to December 2015, 1494 patients with tuberculous bacilli from outpatient and inpatients of affiliated Hospital of Zunyi Medical College were collected and analyzed. Results of the 1494 cases, 59.6% were male, 40.4% were female, 8.9% were 鈮，

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