- 期刊
Consecutive Examinations by Scotch-Tape Perianal Swabs in Diagnosis of Enterobiasis
玻璃膠帶肛圍擦拭連續檢查法對蟯蟲病之診斷
摘要
測定為何肛圍連續檢查法能增高對蟯蟲病診斷上之確實性，應用玻璃膠帶肛圍擦拭連續檢查法檢查育兒院及幼稚園兒量8次，國小學生連續檢查4次，初中學生在上下午各檢查1次。育兒院及幼稚園兒量蟯蟲陽性率由1 次檢查17.3％及34.6 % , 8次連續檢查分別增至44.4％及70 . 2％。4一8次連續檢查，幼稚園兒童蟯蟲陽性率具有顯明差異：大班（6歲）65.6 一78.7 % ，中班（5歲）50.3 一61.1％及小班（4歲）52.3 一69.5％。國小學生陽性率，一次檢查59.9 %，連續4次檢查增至77.3％。國小班級也有顯明差異，三年級最高，六年級最低。惟初中學生之陽性率在上下午則無顯明差異。幼稚園兒量（男68.8 %，女71.9 %）及國小學生（男76.8 %，女77.9 %）兩性間亦均無顯明差異；惟初中女生之陽性率（47.3 % ) 顯高於男生（37.4 % ）。在比較上，連續兩次擦拭檢查法，蟯蟲陽性率，以國小學生（71.3 % ）最高，幼稚園兒量（43.8 %）次之，初中生（41.9 %）較低，育兒院兒量（27.8 %）最低。目前之研究，證明蟯蟲陽性率可隨連續檢查之次數而增高。
關鍵字
無資料並列摘要
In order to determine how many consecutive perianal examinations can increase the accuracy of the diagnosis of enterobiasis, nursery and kindergarten children were examined with 8 consecutive scotch-tape perianal swabs. Primary school students were examined with 4 consecutive swabs,while junior high school students were examined with one swab in the morning and another in the afternoon. The positive rates among nursery and kindergarten children increased from 17.3% and 34.6% by a single swab to 44.4% and 70.2% by 8 consecutive swabs respectively. Significant differences in rates among kindergarten children by class were found by 4 to 8 swabs (3rd year class 65.6¡X78.7%, 2nd year class 50.3¡X61.1%, 1st year class 52.3¡X69.5%). The rate among primary school students increased from 59.9% by a swab to 77.3% by 4 consecutive swabs. Significant differences were found among the rates by grade. The highest was detected in grade 3 and lowest in grade 6. There was no significant difference between the positive rates among junior high school students obtained in the morning (33.7%) and in the afternoon (31.3%), and also no significant difference among rates by junior school was found. There was no significant difference between positive rates by sex in kindergarten children (boys, 68.8%, girls, 71.9%) and primary school students (boys, 76.8%; girls, 77.9%). However, the positive rate of junior high school girls (47.3%) was significantly highre than that of junior high school boys (37.4%). Comparatively, for the positive rates by 2 consecutive swab examinations, the highest rate was found among the primary school students (71.3%), followed by the kindergarten children (43.8%), next was the junior high school students (41.9%), and the nursery school children had the lowest rate (27.8%).The present study demonstrated that the positive rates increased as more swabs were taken.