痰菌阴性肺结核模型建立现状的探讨

doi:10.3969/j.issn.2095-3755.2013.04.004

结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 235-238.doi: 10.3969/j.issn.2095-3755.2013.04.004

痰菌阴性肺结核模型建立现状的探讨

林媛,谭守勇

510095 广州市胸科医院内八科(林媛),呼吸疾病国家重点实验室(谭守勇)

收稿日期:2013-11-22 出版日期:2013-11-30 发布日期:2013-11-30
通信作者: 谭守勇,Email:tanshouyong@163.com
基金资助:
“十二五”国家科技重大专项(2012ZX10004-903)

Discussion on the current situation of the establishment of the bacteriological negative pulmonary tuberculosis diagnosis model

LIN Yuan^*, TAN Shou-yong

^*Eighth Department of Internal Medicine of Guangzhou Chest Hospital, Guangzhou 510095, China

Received:2013-11-22 Online:2013-11-30 Published:2013-11-30
Contact: TAN Shou-yong, Email:tanshouyong@163.com

摘要/Abstract

摘要： 痰菌阴性(简称“菌阴”)肺结核是目前肺结核诊断的难点,尚缺乏明确、统一、权威的诊断模型。论文对菌阴肺结核模型的建立现状进行探讨,从建模方法、研究对象等方面进行分析,期待能指导建立菌阴肺结核临床诊疗指南,规范地快速诊断活动性菌阴肺结核。

Abstract: Bacteriological negative pulmonary tuberculosis (PTB) is the present difficulty in the diagnosis of PTB, as we don’t have a diagnosis model which is clear, unified and authoritative. In this paper, the situation of the establishment of the bacteriological negative PTB diagnosis model is discussed. Through analyzing the modeling method, the object of study and so on, it is anticipated to guide the establishment of clinical guidelines for the diagnosis and treatment of bacteriological negative PTB, and standardize the rapid diagnosis of active PTB.

林媛,谭守勇. 痰菌阴性肺结核模型建立现状的探讨[J]. 结核病与肺部健康杂志, 2013, 2(4): 235-238. doi: 10.3969/j.issn.2095-3755.2013.04.004

LIN Yuan, TAN Shou-yong. Discussion on the current situation of the establishment of the bacteriological negative pulmonary tuberculosis diagnosis model[J]. Journal of Tuberculosis and Lung Health, 2013, 2(4): 235-238. doi: 10.3969/j.issn.2095-3755.2013.04.004

参考文献

[1] 姜秀峰,王嘉棋,董惠芳,等.4种方法联合检测在菌阴肺结核临床诊断价值的研究.中国防痨杂志,2004,26(2):84-88.
[2] 潘毓萱,赵雁林.菌阴肺结核的细菌学含义.中华结核和呼吸杂志,2005,28(10):671-674.
[3] 全国第五次结核病流行病学抽样调查技术指导组,全国第五次结核病流行病学抽样调查办公室.2010年全国第五次结核病流行病学抽样调查报告.中国防痨杂志,2012,34(8):485-508.
[4] 全国结核病流行病学抽样调查技术指导组,全国结核病流行病学抽样调查办公室.2000年全国结核病流行病学抽样调查报告.中国防痨杂志,2002,24(2):65-108.
[5] Parry CM,Kamoto O,Harries AD,et al.The use of sputum induction for establishing a diagnosis in patients with suspected pulmonary tuberculosis in Malawi.Tuber Lung Dis,1995,76(1):72-76.
[6] 屠德华.痰涂片阴性肺结核流行病学意义的评价.中华结核和呼吸杂志,2005,28(10):670-671.
[7] 周梦雯,张玲,谭守勇,等.肺结核患者密切接触者结核患病情况调查.临床肺科杂志,2010,15(2):259-260.
[8] Behr MA, Warren SA, Salamon H, et al. Transmission of Mycobacterium tuberculosis from patients smear-negative for acid-fast bacilli. Lancet,1999,353(9151):444-449.
[9] 许磊,李红. 菌阴肺结核的检查及诊治重要性.中国医药导刊,2008,10(7):1092-1093.
[10] 肖和平.菌阴肺结核在结核病控制中的重要性.中华结核和呼吸杂志,2005,28(10):665-666.
[11] 中华人民共和国卫生部.WS 288-2008 肺结核诊断标准.北京:人民卫生出版社,2008.
[12] Ward HA,Marciniuk DD,Pahwa P et al. Extent of pulmonary tuberculosis in patient diagnosed by active compared to passive case finding. Int J Tuberc Lung Dis, 2004, 8(5):593-597.
[13] 中华人民共和国卫生部疾病控制司.初治涂阴活动性肺结核病人免费治疗管理指南(试行).中华结核和呼吸杂志,2005,28(10):667-669.
[14] 何国钧,肖和平.肺结核病诊断进展.中华结核和呼吸杂志,2001,24(8):455-457.
[15] 张青,肖和平.涂阴活动性肺结核诊断评分的临床研究.中国防痨杂志,2008,30(4):295-298.
[16] 杨本付,宋红梅,宋烨,等.涂阴肺结核诊断记分系统的研究.热带医学杂志,2007,7(9):900-903.
[17] Kanaya AM,Glidden DV,Chambers HF.Identifying pulmo-nary tuberculosis in patients with negative sputum smear results. Chest, 2001,120(2):349-355.
[18] 温文沛,许庆敏,梁国添.涂阴肺结核综合诊断教学模型建立及初步评价.广东医学,2011,32(7):845-847.
[19] 史素红,王伟炳,葛兆发,等.结核病项目地区涂阴肺结核诊断预测工具研究.中华流行病学杂志,2007,28(10):984-987.
[20] Aguiar FS, Almeida LL, Ruffino-Netto A, et al. Classification and regression tree (CART) model to predict pulmonary tuberculosis in hospitalized patients. BMC Pulm Med,2012,12:40.
[21] 方积乾.卫生统计学.5版.北京:人民卫生出版社,2003:241-250.
[22] 王骏,马林茂.Logistic 回归诊断及SAS实现. 数理医药学杂志,2005,18,(1):35-37.
[23] 易静,胡代玉,杨德香,等. 三种预测模型在肺结核发病预测中的应用.中国全科医学,2012,15(13):1495-1497.
[24] El-Solh A,Mylotte J,Sherif S,et al.Validity of a decision tree for predicting active pulmomary tuberculosis.Am J Respir Crit Care Med,1997,155(5):1711-1716.
[25] Deng C, Lin M, Hu C, et al. Exploring serological classification tree model of active pulmonary tuberculosis by magnetic beads pretreatment and MALDI-TOF MS analysis. Scand J Immunol,2011,74(4):397-405..

痰菌阴性肺结核模型建立现状的探讨

Discussion on the current situation of the establishment of the bacteriological negative pulmonary tuberculosis diagnosis model

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics

本文评价

友情链接