摘要
目的:探讨改良抗酸染色法在儿童结核性脑膜炎诊断中的价值。方法:应用BACTEC MGIT 960培养法、离心涂片法、改良抗酸染色法同时对30份临床诊断为结核性脑膜炎的儿童的脑脊液标本进行检测。结果:BACTEC MGIT 960培养法、离心涂片法及改良抗酸染色法的阳性率分别为13.3%(4/30)、3.33%(1/30)、56.7%(17/30)。改良抗酸染色法与BACTEC MGIT 960培养法、离心涂片法比较差异均有统计学意义(P<0.005)。结论:改良抗酸染色法诊断儿童结核性脑膜炎阳性率明显提高,值得临床推广应用。
Objective： To assess the clinical value of applying modified Ziehl-Neelsen stain to diagnosis of tuberculous meningitis in children. Methods：The cerebrospinal fluid（ CSF） was detected in 30 cases confirmed clinically as tuberculous meningitis by BACTEC MGIT 960 culture system,centrifuged smear test and modified Ziehl-Neelsen stain,respectively,and the results were compared for the positive accuracy. Results： The positive rate by BACTEC MGIT 960 culture system,centrifuged smear test and modified Ziehl-Neelsen stain was 13. 3%（ 4 /30）,3. 33%（ 1 /30） and 56. 7%（ 17 /30）,respectively,and the difference was significant（ P〈0. 005）. Conclusion： The modified Ziehl-Neelsen stain can be more sensitive in rapid diagnosis of tuberculous meningitis in children,and is worthy of wider clinical recommendation.
出处
《皖南医学院学报》
CAS
2015年第6期568-570,共3页
Journal of Wannan Medical College
