CAJ | 학술논문

目的调查分析哈萨克族40 ～ 93岁中老年人结膜囊带菌谱及影响因素.方法收集538例哈萨克族中老年人的结膜囊分泌物进行细菌培养和鉴定.结果 538份标本细菌培养阳性214例,阳性率39.78％.病原菌的种类以革兰氏阳性球菌为主(88.32％),其中表皮葡萄球菌最常见(66.36％),其次是微球菌(9.81％)、腐生葡萄球菌(4.21％)和棒状杆菌(4.21％).性别和眼别对哈萨克族中老年人结膜囊带菌率无影响,而年龄、居住地对带菌率有影响:60 ～93岁人群结膜囊带菌率明显高于40 ～59岁人群,农牧区人群结膜囊带菌率明显高于城市人群.结论革兰氏阳性球菌是哈萨克族中老年人结膜囊最常见的菌种,尤其是表皮葡萄球菌;哈萨克族人群结膜囊带菌情况与受检者的年龄和居住地域相关.
목적 조사분석합살극족40 ～ 93세중노년인결막낭대균보급영향인소.방법 수집538례합살극족중노년인적결막낭분비물진행세균배양화감정.결과 538빈표본세균배양양성214례,양성솔39.78％.병원균적충류이혁란씨양성구균위주(88.32％),기중표피포도구균최상견(66.36％),기차시미구균(9.81％)、부생포도구균(4.21％)화봉상간균(4.21％).성별화안별대합살극족중노년인결막낭대균솔무영향,이년령、거주지대대균솔유영향:60 ～93세인군결막낭대균솔명현고우40 ～59세인군,농목구인군결막낭대균솔명현고우성시인군.결론 혁란씨양성구균시합살극족중노년인결막낭최상견적균충,우기시표피포도구균;합살극족인군결막낭대균정황여수검자적년령화거주지역상관.
Objective To analyze the bacterial spectrum in conjunctival sac of the elderly of Kazakh and its influential factors.Methods The 538 speciments of conjunctival sac secretion in the elderly of Kazak aged 40 to 93 years old were collected.The bacterial culture and identification of conjunctival sac secretion was performed.Results The bacterial culture were positive in 214 specimens,and the positive rate was 39.78％.The variety of pathogenic bacteria was mainly gram positive cocci (88.32％),and Staphylococcus epidermidis was the most common type(66.36％),followed by Micrococcus (9.81％),Staphylococcus saprophyticus (4.21％) and Corynebacterium (4.21％).Sex had no effect on conjunctival bacteria rate in the elderly Kazak,while age and place of residence had an effect on carrier rate.The carrier rate of conjunctival bacteria was significantly higher in people over 60 years old than that in people with age between 40 to 59 years old.The carrier rate of conjunctival bacteria in agricultural and pastoral areas was significantly higher than that in city area.Conclusion Gram positive cocci is the most common bacteria in conjunctival sac in elderly Kazak,especially staphylococcus epidermidis.The carriage status of conjunctival sac in Kazakh population is associated with the patient' s age and residence place.