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目的:调查分析某部队医院近5年收治的武警官兵肺结核病例特点,为控制部队结核病提供依据。方法:汇总分析2009年1月-2013年12月某部队医院住院官兵罹患肺结核和结核性胸膜炎病例的临床特点,采用描述流行病学方法对患病情况进行分析。结果:住院官兵肺结核和结核性胸膜炎共82例,均为男性,发病平均年龄22.7岁;军官占8.5%,士兵占91.5%。其中继发型肺结核占82.9%,继发型肺结核并结核性胸膜炎占8.5%,结核性胸膜炎占7.3%,血行播散型肺结核占1.2%。肺结核病例痰涂片阳性10.5%、阴性64.5%,无痰25.0%。肺结核病变累及单个肺叶15.8%,2个肺叶30.3%,3个肺叶32.9%,3个以上肺叶21.1%。继发型肺结核化疗6~9个月,结核性胸膜炎化疗12~18个月,治愈率达100%。结论:某医院住院武警官兵肺结核以继发型肺结核为主,痰涂片检查阳性率较低,总体预后较好。
OBJECTIVE: To investigate and analyze the characteristics of tuberculosis cases among officers and soldiers of armed police in the past 5 years in a military hospital and provide the basis for controlling tuberculosis in the armed forces. Methods: The clinical features of tuberculosis and tuberculous pleurisy patients hospitalized in a military hospital from January 2009 to December 2013 were summarized and analyzed. Epidemiological methods were used to analyze the prevalence of tuberculosis and tuberculous pleurisy. Results: There were 82 hospitalized tuberculosis and tuberculous pleurisy in hospital, all of them were male, with an average age of 22.7 years. Officers accounted for 8.5% and soldiers accounted for 91.5%. The secondary type of pulmonary tuberculosis accounted for 82.9%, secondary tuberculosis and tuberculous pleurisy accounted for 8.5%, tuberculous pleurisy accounted for 7.3%, hematogenous disseminated pulmonary tuberculosis accounted for 1.2%. Pulmonary tuberculosis sputum smear positive 10.5%, negative 64.5%, no sputum 25.0%. Pulmonary tuberculosis affects 15.8% of single lobes, 30.3% of 2 lobes, 32.9% of 3 lobes and 21.1% of 3 or more lobes. Secondary pulmonary tuberculosis chemotherapy 6 to 9 months, tuberculous pleurisy chemotherapy 12 to 18 months, the cure rate of 100%. CONCLUSIONS: In the armed police officers and soldiers of a hospital, tuberculosis is mainly secondary to tuberculosis. The positive rate of sputum smear examination is low, and the overall prognosis is good.