急性盆腔炎的致病菌分析及治疗  

Pathogens and Treatment of Acute Pelvic Inflammatory Disease

作　　者：张秀婵[1] 张颖[2] 

机构地区：[1]荣成市人民医院妇科,山东荣成264300 [2]荣成市人民医院外科,山东荣成264300

出　　处：《中外医疗》2016年第29期28-30,共3页China & Foreign Medical Treatment

摘　　要：目的 分析急性盆腔炎的致病菌、发病特点和耐药性,以帮助患者选择合适的治疗方式。方法 方便选取该院于2014年9月—2015年8月收治的90例急性盆腔炎的患者进行回顾分析,分析致病菌的种类、发病特点及使用的治疗药物等。结果 患者的年龄在18-48岁,该病的主要诱因为阴道不规则出血、流产或行宫腔内手术;该病的主要表现症状有下腹疼痛、发烧、白带增多等;所有患者均接受抗生素的治疗,其中以单一抗生素治疗为主;药敏测试结果中,青霉素类抗生素的检测次数为199次,耐药率为60.80%,其次是头孢类抗生素,耐药率为23.92%;患者在接受致病菌敏感抗生素使用和致病菌耐药抗生素使用,治疗效果比较差异无统计学意义（P〉0.05）。结论 急性盆腔炎多发于育龄女子,患者会出现子宫或附件区压痛等症状,该病致病菌以大肠杆菌及表皮葡萄菌为主;患者应选用抗生素进行治疗,具体抗生素种类的选择要依据患者宫颈管细菌培养和药敏结果综合考虑。Objective To analyze the acute pelvic inflammatory disease pathogens, disease characteristics and resistance to help patients choose the right treatment. Methods Convenient selection 90 cases of patients with acute pelvic inflammatory disease hospital in September 2014 — August 2015 were retrospectively analyzed, analysis of the types of pathogens, disease characteristics and treatment of drug use and the like. Results The patients aged 18 to 48 years, the disease is a major cause of irregular vaginal bleeding, miscarriage or palace cavity surgery; mainly manifested symptoms of the disease are abdominal pain, fever, increased vaginal discharge and so on; all patients were treated with antibiotics the treatment, in which a single antibiotic therapy; susceptibility test results, the number of detections of penicillin antibiotics 199 times, resistance rate was 60.80 percent, followed by cephalosporins, resistant rate of 23.92%; patients receiving pathogenic bacteria sensitive to antibiotics and antibiotic resistance, treatment effect was not statistically significant(P> 0.05). Conclusion Acute pelvic inflammatory disease, mainly in the woman of childbearing age, the patient will appear uterus or attachment area tenderness and other symptoms, the disease pathogenic E. coli and Staphylococcus epidermidis bacteria dominated; patients should use of antibiotics for treatment of specific types of antibiotic selection should be based on patients with cervical bacterial culture and sensitivity results into account.

关 键 词：急性盆腔炎 致病菌 治疗方式 

分 类 号：R5[医药卫生—内科学]