中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
13期
42-42,44
,共2页
肠道菌群失调%诊断%治疗%预后%临床分析
腸道菌群失調%診斷%治療%預後%臨床分析
장도균군실조%진단%치료%예후%림상분석
Intestinal dysbacteriosis%Diagnosis%Treatment%Prognosis%Clinical analysis
目的：探讨113例肠道菌群失调患者的主要原因、治疗方法和预后效果。方法：2012年2月-2013年9月收治肠道菌群失调患者113例，回顾性分析病历资料。结果：113例肠道菌群失调患者主要的症状是腹泻，其中＞60岁的老年患者88例(78%)。恶性肿瘤40例(35.4%)，血液系统疾病4例(3.5%)，肝硬化16例(14.2%)，慢性阻塞性肺病14例(12.3%)，糖尿病12例(10.6%)，脑血管意外11例(9.8%)，慢性心功能不全5例(4.4%)，尿毒症7例(6.2%)，风湿系统疾病4例(3.5%)。抗生素使用率85%，肾上腺皮质激素使用率15%。113例肠道菌群失调患者均采用肠道微生态制剂治疗，治疗1周内症状缓解4例(3.5%)，治疗2周内症状缓解88例(78%)，治疗3周内症状缓解10例(9%)，治疗4周内症状缓解11例(9.5%)。结论：肠道菌群失调常发于年老患者，并伴有慢性疾病和恶性肿瘤，患者长期使用抗生素以及肾上腺皮质激素容易诱导肠道菌群失调，常伴有腹泻症状，对患者采取微生态剂治疗疗效显著。
目的：探討113例腸道菌群失調患者的主要原因、治療方法和預後效果。方法：2012年2月-2013年9月收治腸道菌群失調患者113例，迴顧性分析病歷資料。結果：113例腸道菌群失調患者主要的癥狀是腹瀉，其中＞60歲的老年患者88例(78%)。噁性腫瘤40例(35.4%)，血液繫統疾病4例(3.5%)，肝硬化16例(14.2%)，慢性阻塞性肺病14例(12.3%)，糖尿病12例(10.6%)，腦血管意外11例(9.8%)，慢性心功能不全5例(4.4%)，尿毒癥7例(6.2%)，風濕繫統疾病4例(3.5%)。抗生素使用率85%，腎上腺皮質激素使用率15%。113例腸道菌群失調患者均採用腸道微生態製劑治療，治療1週內癥狀緩解4例(3.5%)，治療2週內癥狀緩解88例(78%)，治療3週內癥狀緩解10例(9%)，治療4週內癥狀緩解11例(9.5%)。結論：腸道菌群失調常髮于年老患者，併伴有慢性疾病和噁性腫瘤，患者長期使用抗生素以及腎上腺皮質激素容易誘導腸道菌群失調，常伴有腹瀉癥狀，對患者採取微生態劑治療療效顯著。
목적：탐토113례장도균군실조환자적주요원인、치료방법화예후효과。방법：2012년2월-2013년9월수치장도균군실조환자113례，회고성분석병력자료。결과：113례장도균군실조환자주요적증상시복사，기중＞60세적노년환자88례(78%)。악성종류40례(35.4%)，혈액계통질병4례(3.5%)，간경화16례(14.2%)，만성조새성폐병14례(12.3%)，당뇨병12례(10.6%)，뇌혈관의외11례(9.8%)，만성심공능불전5례(4.4%)，뇨독증7례(6.2%)，풍습계통질병4례(3.5%)。항생소사용솔85%，신상선피질격소사용솔15%。113례장도균군실조환자균채용장도미생태제제치료，치료1주내증상완해4례(3.5%)，치료2주내증상완해88례(78%)，치료3주내증상완해10례(9%)，치료4주내증상완해11례(9.5%)。결론：장도균군실조상발우년로환자，병반유만성질병화악성종류，환자장기사용항생소이급신상선피질격소용역유도장도균군실조，상반유복사증상，대환자채취미생태제치료료효현저。
Objective:To explore the main causes,treatment method and prognosis effect of 113 cases of patients with intestinal dysbacteriosis.Methods:The medical records of 113 cases of patients with intestinal dysbacteriosis from February 2012 to September 2013 were analyzed retrospectively.Results:The main symptoms of 113 cases of patients with intestinal dysbacteriosis was diarrhea and 88 cases(78%) were elderly patients over the age of 60.40 patients(35.4%) had malignant tumor.4 patients(3.5%) had blood system diseases,16 cases of patients(14.2%) had liver cirrhosis,14 cases of patients(12.3%) had chronic obstructive pulmonary disease,12 patients(10.6%) had diabetes,11 patients(9.8%) had cerebrovascular accident,5 cases of patients(4.4%) had chronic cardiac insufficiency,7 cases of patients(6.2%) had uremic disease,4 patients(3.5%) had rheumatism system diseases.The antibiotic use rate was 85% ,the adrenal cortical hormone use rate was 15% .113 patients with intestinal dysbacteriosis adopt intestinal probiotics treatment,4 cases of patients(3.5%) remitted the symptoms within 1 week,88 cases of patients(78%) remitted the symptoms within 2 weeks,10 cases of patients(9%) remitted the symptoms within 3 weeks,11 cases of patients(9.5%) remitted the symptoms within 4 weeks.Conclusion:Intestinal dysbacteriosis always occured in elderly patients and was accompanied by chronic disease and malignant tumor,the patients treated with long-term antibiotic and adrenocortical hormones had intestinal dysbacteriosis accompanied by diarrhea,and the microecologic agent treating patients had remarkable curative effect.
