CAJ | 학술논문

目的：评价血清结核抗体对肺结核的临床诊断价值。方法：选取本院肺部疾病住院患者2238例，其中肺结核患者799例为观察组，除肺结核外其他肺部疾病患者1439例为对照组。分别用抗酸染色法查找抗酸杆菌，金标法对结核抗体进行检测并观察其结果。结果：观察组抗体阳性率43.05%，对照组为14.38%，两组比较差异有统计学意义（P<0.01）。痰涂片阳性患者结核抗体阳性率53.64%，高于痰涂片阴性患者结核抗体阳性率33.88%，比较差异有统计学意义（P<0.01）。结论：血清结核抗体检测对肺结核诊断具有一定的临床价值。
목적：평개혈청결핵항체대폐결핵적림상진단개치。방법：선취본원폐부질병주원환자2238례，기중폐결핵환자799례위관찰조，제폐결핵외기타폐부질병환자1439례위대조조。분별용항산염색법사조항산간균，금표법대결핵항체진행검측병관찰기결과。결과：관찰조항체양성솔43.05%，대조조위14.38%，량조비교차이유통계학의의（P<0.01）。담도편양성환자결핵항체양성솔53.64%，고우담도편음성환자결핵항체양성솔33.88%，비교차이유통계학의의（P<0.01）。결론：혈청결핵항체검측대폐결핵진단구유일정적림상개치。
Objective:To explore the diagnosis value of serum anti mycobacterium tuberculosis antibody in pulmonary tuberculosis patients. Method:2238 lung disease patients in the hospital were selected,including 799 cases of pulmonary tuberculosis patients as the observation group and other 1439 cases as the control group. Than acid-fast bacilli were detected by staining with acid and tuberculosis antibody were detected by the gold standard method. The results between the two groups were compared. Result:The antibody positive rate of the control group was 14.38%while the observation group was 43.05%,and the difference between the two groups were statistically significant(P<0.01). The antibody positive rate of the sputum smear-negative patients were 33.88%while the sputum smear-positive patients were 53.64%,and the difference between the two groups were statistically significant(P<0.05).Conclusion:Detection of serum anti mycobacterium tuberculosis antibody has some clinical value in diagnosis of pulmonary tuberculosis.