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目的 :研究结核抗体检测联合抗酸染色法检测在结核病临床诊断中的应用效果。方法 :本次研究选取的研究对象为2012年1月~2016年12月期间经X线胸片和痰结核分支杆菌检查确诊并在我中心门诊部进行治疗的结核病患者50例,50例患者均进行结核抗体检测、抗酸染色法检测以及联合检测。对比三组检测结果的特异性、灵敏性以及准确性。结果 :结核抗体检测、抗酸染色法检测以及联合检测的准确率分别为80.00%、88.00%、96.00%,灵敏性分别为93.33%、90.63%、96.97%,特异性分别为85.00%、83.33%、94.17%,三种检测方式进行比较差异不明显(P>0.05)。结论 :在结核病临床诊断中,采用结核抗体检测联合抗酸染色法检测能够使临床诊断的准确率提高,有利于临床治疗方案的选择。
Objective: To study the effect of tuberculosis antibody test combined with acid-fast staining in the clinical diagnosis of tuberculosis. Methods: The subjects selected in this study were 50 TB patients diagnosed by X-ray and sputum Mycobacterium tuberculosis and treated in our clinic from January 2012 to December 2016 and 50 patients TB antibody test, acid-fast staining test and joint test. Compare the specificity, sensitivity and accuracy of the three test results. Results: The detection rates of tuberculosis antibody, acid-fast staining and the combined detection were 80.00%, 88.00% and 96.00%, respectively. The sensitivity was 93.33%, 90.63% and 96.97% respectively, and the specificity was 85.00% and 83.33% , 94.17% respectively. There was no significant difference between the three test methods (P> 0.05). Conclusion: In the clinical diagnosis of tuberculosis, the detection of tuberculosis antibody combined with acid-fast staining can improve the accuracy of clinical diagnosis, which is in favor of the choice of clinical treatment options.