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感染T细胞斑点试验在耐多药肺结核诊断中的应用价值

胡钰卿 潘爱珍 王静 朱敏

中国医药科学2016,Vol.6Issue(21):147-150,4.
中国医药科学2016,Vol.6Issue(21):147-150,4.

感染T细胞斑点试验在耐多药肺结核诊断中的应用价值

Application value of T.SPOT-TB test in the diagnosis of Multi-drug Resistant Patients with Pulmonary Tuberculosis

胡钰卿 1潘爱珍 2王静 1朱敏1

作者信息

  • 1. 杭州市红十字会医院结核实验室,浙江杭州310003
  • 2. 浙江省疾控中心结核病预防控制所结核实验室,浙江杭州310051
  • 折叠

摘要

Abstract

Objective To analyze and discuss the application value of T.SPOT-TB test in the diagnosis of Multi-drug Resistant Patients with Pulmonary Tuberculosis. Methods 71 multi-drug resistant patients with pulmonary tuberculosis in our hospital from January 2014 to January 2016 were selected,In addition, 35 healthy persons were selected as control group. The sensitivity of the various diagnostic methods was compared. Specificity and accuracy were used as the evaluation indexes of diagnostic tests. Results the positive rate of T-SPOT.TB in the diagnosis of multi drug resistant pulmonary tuberculosis was the highest, reaching 95.6%, which was significantly higher than other detection methods, and the difference was significant(P < 0.05). The sensitivity of acid-fast bacilli sputum smear, culture of bacteria and T-SPOT.TB testing in the diagnosis of multi drug resistant pulmonary tuberculosis were high, reached more than 90%. The specificity of T-SPOT.TB detection for the diagnosis of multi drug resistant pulmonary tuberculosis was the highest, up to 91.9%, significantly higher than other detection methods, and the difference was significant(P < 0.05). The accuracy of T-SPOT.TB detection in the diagnosis of multi drug resistant pulmonary tuberculosis was the highest, up to 96.2%, significantly higher than other detection methods, and the difference was significant(P<0.05). Conclusion Compared with other examination methods, T.SPOT-TB test has the advantages of high specificity and high accuracy in the diagnosis of multi drug resistant pulmonary tuberculosis. It is worth popularizing and applying. It is worth popularizing and applying.

关键词

耐多药肺结核/感染T细胞斑点试验

Key words

Multi drug resistant pulmonary tuberculosis/T.SPOT-TB test

分类

医药卫生

引用本文复制引用

胡钰卿,潘爱珍,王静,朱敏..感染T细胞斑点试验在耐多药肺结核诊断中的应用价值[J].中国医药科学,2016,6(21):147-150,4.

中国医药科学

2095-0616

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