慢性鼻窦炎患者鼻窦分泌物的需氧菌检验分析  

Analysis of aerobic bacteria in the sinus secretions of patients with chronic rhinosinusitis

作　　者：田瑛 Tian Ying(Clinical Laboratory of Linyi Central Hospital,Yishui,Shandong,276400,China)

机构地区：[1]临沂市中心医院,山东沂水276400

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第1期57-59,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析慢性鼻窦炎患者鼻窦分泌物中的需氧菌的分布情况及药敏情况。方法筛选35例慢性鼻窦炎患者为观察组样本,同期选择35例耳鼻喉科非慢性鼻窦炎患者为对照组样本,样本选自2019年4月~2022年1月,均实施鼻内镜手术在采集鼻窦分泌物后进行需氧菌检验,分析两组阳性检出率、药敏情况。结果观察组需氧菌阳性检出率高于对照组(P<0.05);观察组鼻窦分泌物中检出的需氧菌含量最大的细菌为表皮葡萄球菌(20.00%)、金黄葡萄球菌(17.14%)、肺炎克雷伯菌(8.57%),其中需氧菌对环丙沙星(68.18%)、万古霉素(100.00%)、庆大霉素(50.00%)、复方新诺明(54.54%)等药物敏感性较高,对青霉素(72.73%)、苯唑西林(54.54%)、红霉素(59.09%)、克林霉素(45.45%)、氯霉素(54.54%)敏感性较低。结论慢性鼻窦炎患者鼻窦分泌物中含有的需氧菌较多,医师在临床可根据细菌培养结果、药敏试验结果制定合理的治疗及干预方案,旨在确保治疗方案针对性、合理性,达到辅助控制病情的目的,值得借鉴及参考。Objective To analyze the distribution and characteristics of aerobic bacteria in the sinus secretions of patients with chronic rhinosinusitis.Methods Thirty-five patients with chronic sinusitis were selected as the observation group samples,and 35 non-chronic sinusitis patients in the department of otolaryngology were selected as the control group samples during the same period.The samples were selected from April 2019 to January 2022,and all underwent endoscopic surgery.The aerobic bacteria test was performed after the sinus secretion was collected,and the positive detection rate and drug susceptibility of the two groups were analyzed.Results The positive detection rate of aerobic bacteria in the observation group was higher than that in the control group(P<0.05).The bacteria with the largest aerobic bacteria content in the sinus secretions of the observation group were Staphylococcus epidermidis(20.00%)and Staphylococcus aureus(17.14%),Klebsiella pneumoniae(8.57%),of which aerobic bacteria were resistant to ciprofloxacin(68.18%),vancomycin(100.00%),gentamicin(50.00%),cotrimoxazole(54.54%)and other drugs were highly sensitive,and were sensitive to penicillin(72.73%),oxacillin(54.54%),erythromycin(59.09%),clindamycin(45.45%),and chloramphenicol(54.54%).low sex.Conclusion The sinus secretions of patients with chronic rhinosinusitis contain a lot of aerobic bacteria.In clinical practice,physicians can formulate reasonable treatment and intervention plans based on the results of bacterial culture and drug susceptibility tests to ensure that the treatment plan is targeted and reasonable.To achieve the purpose of auxiliary control of the disease,it is worth learning and reference.

关 键 词：慢性鼻窦炎 鼻窦分泌物 需氧菌 检验 金黄葡萄球菌 

分 类 号：R76[医药卫生—耳鼻咽喉科]