姚营营

【摘 要】 目的：分析布氏菌病患者进行血清学检验与细菌学检验对其病情诊断的临床应用意义。方法：选本院接收的90例布氏菌病患者为研究对象，随机分为甲组、乙组和丙组，每组30例，甲组30例初次诊断接受血清学与细菌学联合检验，乙组仅接受血清学检验，丙组仅接受细菌学检验，对比三组结果。结果：甲组初次诊断接受联合检验，其阳性检出率远远超过乙组和丙组，差异显著，P<0.05;乙组患者与丙组患者的阳性检出率相比较，并无显著差异，P>0.05;三组患者在接受检查过程中所出现的医疗差错情况并无明显差异，P>0.05。结论：对布氏菌病患者应用血清学联合细菌学检验的阳性检出率高于独立应用血清学检验或者是细菌学检验的阳性检出率。

【关键词】 布氏菌病;血清学检验;细菌学检验

[Abstract] Objective：To analyze the clinical application significance of serological examination and bacteriological examination of patients with brucellosis. Methods： A total of 90 patients with brucellosis were enrolled in our hospital. They were randomly divided into group A， group B and group C， with 30 cases in each group. The first diagnosis of group A was combined with serological and bacteriological tests. Group B only Serological tests were performed. Group C received only bacteriological tests and the results of the three groups were compared. Results： The positive detection rate of group A and initial diagnosis was significantly higher than that of group B and group C， the difference was significant （P<0.05）. The positive detection rate of group B and group C was not significant. The difference was P>0.05. There was no significant difference in medical errors between the three groups during the examination， P>0.05. Conclusion： The positive detection rate of serological combined bacteriological test for patients with brucellosis is far from the positive detection rate of serological test or bacteriological test.

[Key words]Brucellosis; Serological test; Bacteriological test

隨着近年来人们生活条件的逐步改善，大量的肉食产品出现在人们的餐桌上，而布氏菌病是一种通过布氏菌感染动物进而感染人类的人兽共患疾病，尤其对于长期接触动物的人更加容易患上此种疾病。临床上此种疾病的表现形式多种多样，主要是引起患者的各种反应性变态疾病，通常发现之后要采取及时的措施进行隔离和治疗，因此如何应用快速、高效的诊断方法来提高此种疾病的阳性检出率不仅仅关系到患者本身的治疗恢复，同时也是切断了此种病原菌的传染源，对于患者或社会都有重要意义[1]。目前，临床上对于此类患者的检查方法多种多样，但是最为常用的方法则是血清学检验以及细菌学检验。本院……