中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
26-27,28
,共3页
白内障%术前结膜囊%无菌化培养%细菌培养%药敏
白內障%術前結膜囊%無菌化培養%細菌培養%藥敏
백내장%술전결막낭%무균화배양%세균배양%약민
Cataract%Preoperative conjunctival sac%Aseptic cultivation%Bacterial culture%Drug sensitivity
目的：探讨白内障术前结膜囊无菌化准备、细菌培养及药敏变化结果。方法：将笔者所在科室2010年1月-2013年12月接诊的300例眼部无感染的白内障手术患者作为研究对象，对术前结膜囊无菌化准备、细菌培养与药敏变化情况进行分析。结果：300例白内障患者术前结膜囊细菌培养结果显示阳性156例，占52.00%，细菌类型主要为革兰阳性球菌与革兰阴性杆菌。革兰阳性球菌占78.89%(142/180)，包括表皮葡萄球菌、金黄色葡萄球菌等，并且在近几年呈现逐年上升趋势。常见结膜囊细菌对环丙沙星、妥布霉素、氧氟沙星耐药率呈现逐年上升趋势，而庆大霉素耐药率则逐年下降。结论：白内障患者术前主要的结膜囊细菌包括革兰阳性球菌与阴性杆菌，前者呈现逐年上升的趋势，后者则比较稳定；临床广谱抗生素大量应用，使得结膜囊细菌对常用药物耐药性逐年上升，而不常用药物耐药性则逐年下降。
目的：探討白內障術前結膜囊無菌化準備、細菌培養及藥敏變化結果。方法：將筆者所在科室2010年1月-2013年12月接診的300例眼部無感染的白內障手術患者作為研究對象，對術前結膜囊無菌化準備、細菌培養與藥敏變化情況進行分析。結果：300例白內障患者術前結膜囊細菌培養結果顯示暘性156例，佔52.00%，細菌類型主要為革蘭暘性毬菌與革蘭陰性桿菌。革蘭暘性毬菌佔78.89%(142/180)，包括錶皮葡萄毬菌、金黃色葡萄毬菌等，併且在近幾年呈現逐年上升趨勢。常見結膜囊細菌對環丙沙星、妥佈黴素、氧氟沙星耐藥率呈現逐年上升趨勢，而慶大黴素耐藥率則逐年下降。結論：白內障患者術前主要的結膜囊細菌包括革蘭暘性毬菌與陰性桿菌，前者呈現逐年上升的趨勢，後者則比較穩定；臨床廣譜抗生素大量應用，使得結膜囊細菌對常用藥物耐藥性逐年上升，而不常用藥物耐藥性則逐年下降。
목적：탐토백내장술전결막낭무균화준비、세균배양급약민변화결과。방법：장필자소재과실2010년1월-2013년12월접진적300례안부무감염적백내장수술환자작위연구대상，대술전결막낭무균화준비、세균배양여약민변화정황진행분석。결과：300례백내장환자술전결막낭세균배양결과현시양성156례，점52.00%，세균류형주요위혁란양성구균여혁란음성간균。혁란양성구균점78.89%(142/180)，포괄표피포도구균、금황색포도구균등，병차재근궤년정현축년상승추세。상견결막낭세균대배병사성、타포매소、양불사성내약솔정현축년상승추세，이경대매소내약솔칙축년하강。결론：백내장환자술전주요적결막낭세균포괄혁란양성구균여음성간균，전자정현축년상승적추세，후자칙비교은정；림상엄보항생소대량응용，사득결막낭세균대상용약물내약성축년상승，이불상용약물내약성칙축년하강。
Objective:To investigate the conjunctival sac before cataract surgery aseptic preparation,bacterial culture and drug sensitivity results. Method:Three hundred patients with eye cataract operation in our department from January 2010 to December 2013,no infection as the object of study,the preoperative conjunctival sac aseptic preparation,bacterial culture and drug sensitivity were analyzed.Result:300 cases of preoperative patients with cataract conjunctival bacterial culture results showed positive in 156 cases,accounted for 52.00%,the types of bacteria were gram positive cocci and gram-negative bacilli. Gram-positive cocci accounted 78.89%(142/180),including Staphylococcus epidermidis,Staphylococcus aureus,and the rising trend in recent years show. Resistance rate of common conjunctival bacteria showed a rising trend year by year to ciprofloxacin,ofloxacin and gentamicin,but which was declining of tobramycin.Conclusion:The preoperative patients with cataract conjunctival bacteria including Gram-positive cocci and and gram-negative bacilli,the former show a rising trend year by year,and the latter is relatively stable. A lot of clinical application of broad-spectrum antibiotics,the conjunctival sac bacterial drug resistance to commonly used increase year by year,and is not commonly used drug resistance is reduce year by year.
