安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
Journal of Anhui Health Vocational & Technical College
2015年
5期
82-84
,共3页
肺结核的诊断%Xpert Mtb/RIF检测
肺結覈的診斷%Xpert Mtb/RIF檢測
폐결핵적진단%Xpert Mtb/RIF검측
Detection in the diagnosis of pulmonary tuberculosis%Mtb/RIF Xpert
目的：探讨基层医院对结核病快速检测的方法。方法：收集2014年全年结核病门诊入选国家免费项目患者的痰标本，进行Xpert Mtb/RIF检测、荧光显微镜涂片找抗酸杆菌，并将二者进行对比，以培养做为最终标准。对结果进行分析。结果：对339份标本进行Xpert Mtb/RIF，荧光镜抗酸染色及培养，其中检测组175例患者标本中，阳性标本123例，阳性率为70.3%；对照组164中涂片阳性标本58例，阳性率为35.4%。卡方检验结果表明两组有显著性差异（P<0.01）。针对两种方法的阳性标本进行固体培养，培养结果为：Xpert Mtb/RIF检测阳性123例标本，阳性为80例，阳性率为70.3%。对照组阳性标本58例，培养出细菌19例，阳性率为19.3%卡方检验结果表明两组显著性差异（P<0.01）。结论：Xpert Mtb/RIF方法能快速、方便、灵敏检测结核杆菌，并快速培养出结核杆菌及耐药分析。
目的：探討基層醫院對結覈病快速檢測的方法。方法：收集2014年全年結覈病門診入選國傢免費項目患者的痰標本，進行Xpert Mtb/RIF檢測、熒光顯微鏡塗片找抗痠桿菌，併將二者進行對比，以培養做為最終標準。對結果進行分析。結果：對339份標本進行Xpert Mtb/RIF，熒光鏡抗痠染色及培養，其中檢測組175例患者標本中，暘性標本123例，暘性率為70.3%；對照組164中塗片暘性標本58例，暘性率為35.4%。卡方檢驗結果錶明兩組有顯著性差異（P<0.01）。針對兩種方法的暘性標本進行固體培養，培養結果為：Xpert Mtb/RIF檢測暘性123例標本，暘性為80例，暘性率為70.3%。對照組暘性標本58例，培養齣細菌19例，暘性率為19.3%卡方檢驗結果錶明兩組顯著性差異（P<0.01）。結論：Xpert Mtb/RIF方法能快速、方便、靈敏檢測結覈桿菌，併快速培養齣結覈桿菌及耐藥分析。
목적：탐토기층의원대결핵병쾌속검측적방법。방법：수집2014년전년결핵병문진입선국가면비항목환자적담표본，진행Xpert Mtb/RIF검측、형광현미경도편조항산간균，병장이자진행대비，이배양주위최종표준。대결과진행분석。결과：대339빈표본진행Xpert Mtb/RIF，형광경항산염색급배양，기중검측조175례환자표본중，양성표본123례，양성솔위70.3%；대조조164중도편양성표본58례，양성솔위35.4%。잡방검험결과표명량조유현저성차이（P<0.01）。침대량충방법적양성표본진행고체배양，배양결과위：Xpert Mtb/RIF검측양성123례표본，양성위80례，양성솔위70.3%。대조조양성표본58례，배양출세균19례，양성솔위19.3%잡방검험결과표명량조현저성차이（P<0.01）。결론：Xpert Mtb/RIF방법능쾌속、방편、령민검측결핵간균，병쾌속배양출결핵간균급내약분석。
Objective: To investigate the method of rapid detection of tuberculosis in primary hospitals. Methods:to collectthe year 2014,TB clinic selected sputum samples of patients with free national projects,xpert Mtb/RIF detection, fluorescence microscope smear for acid fast bacilli and compare the two, to culture as the ultimate standard. Analysis of the results. Results:339 samples of xpert Mtb/RIF, fluorescent microscope by acid fast staining and culture. The detection group 175 cases of specimens of patients and 123 cases of positive samples, positive rate was 70.3%; control group of 164 in smear positive specimens of 58 cases, positive rate was 35.4%. There were significant differences between the two groups ( P<0.01).The positive samples of the two methods were carried out by solid culture. The culture results were as follows:Mtb/RIF Xpert was positive in 123 cases, positive in 80 cases, the positive rate was 70.3%. In the control group, 58 cases were positive, 19 cases were cultured, the positive rate was 19.3%, and the chi square test was significantly different between the two groups ( P<0.01). Conclusion:Mtb/RIF Xpert method can quickly, conveniently and sensitively detect Mycobacterium tuberculosis, and rapid culture of Mycobacterium tuberculosis and drug resistance analysis.
