老年慢性鼻-鼻窦炎患者细菌感染及鼻部解剖学变异情况

发布时间：2018-07-25 07:27

【摘要】：目的探讨老年慢性鼻-鼻窦炎(CRS)患者细菌感染和鼻部解剖学变异情况及其相关性。方法对2008年1月至2013年1月在该院就诊的160侧(105例)老年CRS患者进行CT和细菌培养检查,高变异组93侧,低变异组67侧,比较两者细菌感染情况。结果每侧鼻腔发生解剖变异的数量平均值为4.57个,高变异组93侧,低变异组67侧。高变异组细菌阳性76侧,阴性17侧,阳性率为81.72%。在低变异组细菌阳性25侧,阴性42侧,阳性率为37.31%。高变异组细菌阳性率高于低变异组(P0.05)。高变异组培养出细菌107株,革兰阳性菌49株,革兰阴性菌53株。低变异组培养出细菌35株,其中革兰阳性菌24株,革兰阴性菌11株。高变异组以革兰阴性菌为主(51.96%);低变异组以革兰阳性菌为主(68.57%)。两组菌种构成差异有统计学意义(P0.05)。结论解剖变异的数量和老年患者感染细菌的机会呈正相关,解剖变异的数量较多,以革兰阴性菌感染为主,解剖变异的数量较少的以革兰阳性菌感染为主。针对老年患者治疗可以考虑鼻解刨变异对用药的影响。
[Abstract]:Objective to investigate the bacterial infection and nasal anatomical variation in the elderly patients with chronic rhinosinusitis (CRS) and their correlation. Methods the CT and bacterial cultures were examined in 160 sides (105 cases) of the elderly CRS patients in the hospital from January 2008 to January 2013, 93 sides of the high variation group, 67 sides of the low variant group, and the comparison of the two bacterial infections. The average number of anatomic variations in the cavity was 4.57, 93 in the high variation group and 67 in the low variation group. The positive rate was 76 side and 17 side in the high variation group. The positive rate was 25 side and 42 side in the low variation group, the positive rate of the positive rate was higher in the 37.31%. high variant group than in the low variation group (P0.05). The high variation group produced 107 bacteria in the high variation group. There were 49 Gram-positive bacteria and 53 Gram-negative bacteria. 35 strains were cultured in low variation group, of which 24 were Gram-positive and 11 were Gram-negative bacteria. The high variation group was Gram-negative bacteria (51.96%), and Gram-positive bacteria in the low variation group were mainly (68.57%). The difference between the two groups was statistically significant (P0.05). Conclusion the number of anatomic variations and the elderly were in the elderly. The chances of infection of the bacteria were positively correlated, the number of anatomic variations was more, Gram-negative bacteria were the main infection, and the number of anatomic variations was mainly Gram-positive bacteria.
【作者单位】：郑州大学第一附属医院鼻科;郑州大学第一附属医院咽喉头颈科;郑州大学第一附属医院肾内科;
【分类号】：R765

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