CAJ | 학술논문

目的：探讨结核感染 T 细胞斑点试验在老年人慢性阻塞性肺疾病（慢阻肺）合并肺结核诊断中的应用价值。方法将老年慢阻肺合并肺结核患者64例根据检查方式不同分成两组。对照组检查方式为结核抗体检测，共32例；研究组接受结核感染 T 细胞斑点试验，共32例。观察并比较两组结果。结果研究组经结核感染 T 细胞斑点试验，共检出29例阳性（90．63％），3例阴性（9．37％）；对照组经结核抗体检测，共检出23例阳性（71．88％），9例阴性（28．12％）。两组比较研究组阳性率较高（χ2＝3．9547，P ＜0．05），阴性率较低（χ2＝3．9147，P ＜0．05）。结论结核感染 T 细胞斑点试验在老年人慢阻肺合并肺结核患者诊断中应用价值较大，诊断较准确、可靠，值得推广。
목적：탐토결핵감염 T 세포반점시험재노년인만성조새성폐질병（만조폐）합병폐결핵진단중적응용개치。방법장노년만조폐합병폐결핵환자64례근거검사방식불동분성량조。대조조검사방식위결핵항체검측，공32례；연구조접수결핵감염 T 세포반점시험，공32례。관찰병비교량조결과。결과연구조경결핵감염 T 세포반점시험，공검출29례양성（90．63％），3례음성（9．37％）；대조조경결핵항체검측，공검출23례양성（71．88％），9례음성（28．12％）。량조비교연구조양성솔교고（χ2＝3．9547，P ＜0．05），음성솔교저（χ2＝3．9147，P ＜0．05）。결론결핵감염 T 세포반점시험재노년인만조폐합병폐결핵환자진단중응용개치교대，진단교준학、가고，치득추엄。
Objective To investigate the application value of tuberculosis infection of T cells spot test in the diagnosis for pulmonary tuberculosis in elderly patients with chronic obstructive pulmonary disease(COPD).Methods According to test different ways,64 elderly COPD patients with pulmonary tuberculosis were divided into the two groups.The control group(n =32)was checked by tuberculosis antibody test,and the study group(n =32)received T cells infected with tuberculosis spot test.The two sets of results were observed and compared.Results The study group by T cell spot test TB infection,29 cases were detected positive(90.63%),3 cases of negative(9.37%);tuberculosis antibody detection by the control group,23 cases were detected positive(71.88%),9 negative patients (28.12%).Compared the two groups,the study group had higher positive rate(χ2 =3.954 7,P <0.05),and nega-tive rate was lower(χ2 =3.914 7,P <0.05).Conclusion Tuberculosis infection T cell spot test in the diagnosis of pulmonary tuberculosis in patients with COPD in the elderly has greater value,more accurate diagnosis,reliability and worthy of promotion.