| 慢性阻塞性肺疾病急性加重期痰细菌学培养分析 |
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| 引用本文： | 游世伦,练志方,王慧萍,张艳华. 慢性阻塞性肺疾病急性加重期痰细菌学培养分析[J]. 医学研究杂志, 2008, 37(12): 94-96 |
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| 作者姓名： | 游世伦 练志方 王慧萍 张艳华 |
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| 作者单位： | 深圳市布吉人民医院呼吸内科,518112 |
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| 摘 要： | 目的 回顾分析慢性阻塞性肺疾病(COPD)急性加重期痰细菌培养结果、耐药情况以及与肺功能的关系,为本地区选择抗菌药物提供借鉴.方法 在2005年2月至2008年2月期间,收治的慢性阻塞性肺疾病急性加重期患者中随机抽取116例,其中76例痰培养结果阳性,对其进行回顾性分析.结果 76例痰培养结果阳性者中有革兰阴性细菌51例(67.11%),革兰阳性细菌18例(23.68%).真菌7例(9.21%).细菌感染前4位依次是:铜绿假单胞菌11株(14.47%)、大肠杆菌9株(11.84%)、鲍曼不动杆菌7株(9.21%)及表皮葡萄球菌7株(9.21%).真菌感染为白色念珠菌.药敏试验显示前5种细菌对哌拉西林、环丙沙星、头孢哌酮等常用抗生素有较高的耐药率.COPD患者随着肺功能损害的加重常伴随假单胞菌、肠杆菌、不动杆菌的高检出率.结论 对COPD急性加重期患者,呼吸道感染以革兰阴性细菌为主,痰细菌学培养结果与患者肺功能损害关系密切.
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| 关 键 词： | 肺疾病 阻塞性 细菌 耐药 肺功能 |
Bacteriological Culture Analysis of Chronic Obstructive Pulmonary Disease in Acute Exacerbation Stage. |
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| You Shilun,Lian Zhifang,Wang Huiping,Zhang Yanhua. Bacteriological Culture Analysis of Chronic Obstructive Pulmonary Disease in Acute Exacerbation Stage.[J]. Journal of Medical Research, 2008, 37(12): 94-96 |
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| Authors: | You Shilun Lian Zhifang Wang Huiping Zhang Yanhua |
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| Affiliation: | You Shilun,Lian Zhifang,Wang Huiping,Zhang Yanhua.Respiratory Medical Department,Shenzhen Buji People's Hospital,Guangdong 518112,China |
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| Abstract: | Objective To retrospective analyze the sputum bacteria culture result,resistance and the relation with pulmonary function of chronic obstructive pulmonary disease(COPD)during acute exacerbation stage,and offer suggestion for anti-bacteria drug selection in the local region.Methods From February 2005 to February 2008,116 patients who has been given therapy due to COPD in acute exacerbation stage were randomly selected,among whom 76 cases showed positive result in sputum bacteria culture.And we analyzed retro... |
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| Keywords: | Pulmonary disease Obstructive Bacteria Resistance Pulmonary function |
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