孤立性蝶窦炎的需氧菌分析  

Investigation of aerobic bacterium in isolated sphenoid sinusitis

作　　者：陈争明[1] 范静平[2] 颜泽敏[3] 吴建[2] 庞帅[3] 

机构地区：[1]解放军第四一一医院耳鼻咽喉科,上海200081 [2]第二军医大学长征医院耳鼻咽喉科 [3]第二军医大学长征医院呼吸科

出　　处：《中国耳鼻咽喉颅底外科杂志》2009年第5期349-352,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的分析孤立性蝶窦炎的需氧菌分布及对常用抗生素敏感情况,为临床治疗孤立性蝶窦炎提供依据。方法在鼻内镜手术中以无菌方式取2 2例孤立性蝶窦炎的蝶窦内分泌物及黏膜,进行需氧菌培养和常用抗生素的药敏试验,并与6 0例正常鼻腔中鼻道分泌物及3 0例慢性蝶窦炎组(多鼻窦炎患者)蝶窦内容物的细菌培养结果对比。结果孤立性蝶窦炎组需氧菌检出率7 7.3%,正常鼻腔中鼻道组需氧菌检出率7 8.3%,慢性鼻窦炎合并蝶窦炎组需氧菌检出率8 6.7%。孤立性蝶窦炎G+菌占1 0 0%;正常中鼻道组G+菌占7 0.2%,G-菌占2 9.8%;慢性鼻窦炎合并蝶窦炎组G+菌占8 0.8%,G-菌占1 9.2%。孤立性蝶窦炎组需氧菌普遍对β-内酰胺类、头孢类耐药。结论孤立性蝶窦炎以需氧菌感染为主,主要为金黄色葡萄球菌。Objective To investigate the distribution of aerobic bacteria and their antimicmbial susceptibility in isolated sphenoid sinusitis as reference to treatment.Methods Aerobic bacteria and their antimicmbial susceptibility were detected in 22 specimens with isolated sphenoid sinusitis from nasal endoscopic surgery.Result from isolated sphenoid sinusitis group was compared with the result from chronic sphenoid sinusitis group and normal middle nasal meatus group.Results The positive rate of aerobic bacterium was 77.3% in isolated sphenoid sinusitis group,similiar to normal middle nasal meatus group（78.3%） comparing a positive rate of 86.7% in chronic sphenoid sinusitis group.100% aerobic bacteria cultured in isolated sphenoid sinusitis group were G＋ bacteria.Sever multi-drug resistance of aerobic bacterium is found in isolated sphenoid sinusitis.Conclusion Aerobic bacterium plays an important role in isolated sphenoid sinusitis and Streptococci Aureus is predominant.

关 键 词：孤立性蝶窦炎 需氧菌 药物敏感试验 抗药性 

分 类 号：R765.44[医药卫生—耳鼻咽喉科]