外耳道真菌病患者病原菌分析及氦氖激光照射治疗应用价值研究  

Pathogenic bacteria analysis of patients with otomycosis externa and the application value of He-Ne laser irradiation therapy

作　　者：刘波[1] 舒卫宁[1] 张俊星[1] 崔令运[1] 梁远远 张永杰[1] 

机构地区：[1]濮阳市人民医院耳鼻咽喉科,河南濮阳457000

出　　处：《中华医院感染学杂志》2017年第3期642-645,共4页Chinese Journal of Nosocomiology

基　　金：河南省科技厅科技发展计划(14A310014)

摘　　要：目的研究及观察外耳道真菌病患者病原菌分布及氦氖激光照射治疗应用价值,为外耳道真菌感染的治疗提供参考依据。方法选取2015年6月-2016年5月医院收治82例外耳道真菌病患者为研究对象,对其进行病原菌检测及分析,将82例患者随机分为对照组和观察组,每组各41例,对照组进行常规外耳道真菌病治疗,观察组在对照组的基础上加用氦氖激光照射治疗,然后统计及比较两组治疗总有效率及起效时间、治疗前后的不适感评估结果进行比较。结果 82例外耳道真菌感染病患者主要以曲霉菌与白假丝酵母菌为主,其检出率均高于其他菌株,观察组治疗后1周及2周总有效率分别为92.68%及97.56%,均高于对照组73.17%及82.93%,起效时间短于对照组,治疗后不适感评分结果优于对照组,以上差异均有统计学意义(P<0.05)。结论外耳道真菌病患者病原菌主要以曲霉菌与白假丝酵母菌为主,氦氖激光照射治疗在该类患者中的治疗效果较好,应用价值较高。OBJECTIVE To study and observe the distribution of pathogenic bacteria of patients with otomycosis externa and the application value of He-Ne laser irradiation therapy,in order to provide references for the treatment of otomycosis externa.METHODS A total of 82 patients with otomycosis externa in our hospital from Jun.2015 to May 2016 were selected as research objects,and the pathogenic bacteria of the patients were detected and analyzed.Then 82 patients were randomly divided into control group and observation group with 41 cases in each group,the control group were treated with routine treatment of otomycosis externa,the observation group were treated with He-Ne laser irradiation therapy on the basic treatment of control group,and the total effective rates,effective time and discomfortableness evaluation results before and after the treatment of the two groups were analyzed and compared.RESULTS The main pathogenic bacteria of 82 patients with otomycosis externa were Aspergillus and Candida albicans,the rates were all higher than those of other pathogenic bacteria.The total effective rates of observation group at first and second week after the treatment were 92.68% and 97.56%,which were higher than73.17%and 82.93% of control group,the effective time of observation group was shorter than that of control group,the discomfortableness evaluation results observation group after the treatment were better than those of control group,and those differences were all significant（P〈0.05）.CONCLUSIONThe main pathogenic bacteria of patients with otomycosis externa are Aspergillus and C.albicans,and the treatment effects of He-Ne laser irradiation therapy in these patients are better,so its application value is higher.

关 键 词：外耳道真菌病 病原菌 氦氖激光照射治疗 应用价值 

分 类 号：R378[医药卫生—病原生物学]