中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
12期
1502-1503
,共2页
胸部X线诊断%精神科体检%检出率%价值%摄影
胸部X線診斷%精神科體檢%檢齣率%價值%攝影
흉부X선진단%정신과체검%검출솔%개치%섭영
Chest X-ray%Psychiatric screening%Detection rate%Value%Radiography
目的 探讨胸部X线透视检查(胸透)在精神科体检中阳性检出率及应用价值.方法 搜集22 683例住院精神病患者的胸透资料,按照年龄进行分组,计算阳性检出率,采用x2检验进行统计学处理.结果 精神病患者胸透阳性检出率为0.71％,40岁以上各年龄组各种疾病阳性检出率增加明显；40 ～49岁组与30～39岁组[0.50％( 21/4174)比0.22％(9/4081),P＜0.05],50～59岁组与40～49岁组[1.01％( 35/3473)比0.50％ (21/4174),P＜0.05],≤39岁与≥40岁组的阳性检出率差异具有统计学意义(P＜0.01).结论 胸透在精神科体检中阳性检出率低,且受X线照射剂量大,不应作为入院常规体检项目,应根据受检者的年龄、症状、既往病史等有选择地进行胸部X线摄影.
目的 探討胸部X線透視檢查(胸透)在精神科體檢中暘性檢齣率及應用價值.方法 搜集22 683例住院精神病患者的胸透資料,按照年齡進行分組,計算暘性檢齣率,採用x2檢驗進行統計學處理.結果 精神病患者胸透暘性檢齣率為0.71％,40歲以上各年齡組各種疾病暘性檢齣率增加明顯；40 ～49歲組與30～39歲組[0.50％( 21/4174)比0.22％(9/4081),P＜0.05],50～59歲組與40～49歲組[1.01％( 35/3473)比0.50％ (21/4174),P＜0.05],≤39歲與≥40歲組的暘性檢齣率差異具有統計學意義(P＜0.01).結論 胸透在精神科體檢中暘性檢齣率低,且受X線照射劑量大,不應作為入院常規體檢項目,應根據受檢者的年齡、癥狀、既往病史等有選擇地進行胸部X線攝影.
목적 탐토흉부X선투시검사(흉투)재정신과체검중양성검출솔급응용개치.방법 수집22 683례주원정신병환자적흉투자료,안조년령진행분조,계산양성검출솔,채용x2검험진행통계학처리.결과 정신병환자흉투양성검출솔위0.71％,40세이상각년령조각충질병양성검출솔증가명현；40 ～49세조여30～39세조[0.50％( 21/4174)비0.22％(9/4081),P＜0.05],50～59세조여40～49세조[1.01％( 35/3473)비0.50％ (21/4174),P＜0.05],≤39세여≥40세조적양성검출솔차이구유통계학의의(P＜0.01).결론 흉투재정신과체검중양성검출솔저,차수X선조사제량대,불응작위입원상규체검항목,응근거수검자적년령、증상、기왕병사등유선택지진행흉부X선섭영.
Objective To investigate the positive detection rate and the application value of chest X-ray in psychiatric screening.Methods Chest X-ray of 22 683 cases were applied for psychiatric screening and were divided into seven groups according to the age interval by decade,the positive detection rate was calculated with statistical analysis using x2 test.Results Chest X-ray positive detection rate was 0.71％ in psychiatric screening,the positive detection rate of various disease was significantly increased at the age groups above 40 years.There were significant statistical differences of the positive detection rate between the age groups 40-49 years and 30-39 years,age groups 50-59 years and 40-49 years,age groups ＜40 years and ≥40 years.Conclusions The positive detection rate of chest X-ray is low in psychiatric screening and the patients are irradiated by a large x-ray dosage.Chest X-ray should not be used as routine project in hospital and the chest radiography should be individualized according to the personal age,respiratory symptoms and previous medical history.
