中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
5期
15-17
,共3页
龟头炎%白色念珠菌%诊断%治疗%应用价值
龜頭炎%白色唸珠菌%診斷%治療%應用價值
구두염%백색념주균%진단%치료%응용개치
Balanitis%Candida albicans%Diagnosis%Treatment%Application value
目的：探析白色念珠菌检测对龟头炎的诊疗过程的指导作用。方法：回顾性分析我院门诊2012年1月至2014年3月期间收治的118例龟头炎患者的临床资料，真菌镜检均为阳性，行菌株培养和鉴定以及体外药敏试验，分析菌株检出率、病原菌分布情况以及药敏试验结果。结果：118例患者真菌镜检均为阳性，念珠菌阳性率为94.92％；白色念珠菌106株（94.64％）。培养菌株对制霉菌素和克霉唑敏感率100.00％；白色念珠菌对氟康唑、伊曲康唑敏感性分别为56.86％、60.78％；1株近平滑念珠菌对咪康唑中度敏感，对其他药物均敏感；光滑念珠菌对所有药物均敏感；克柔念珠菌对咪康唑耐药，其余药物均敏感。结论：白色念珠菌仍为真菌性龟头炎主要病原菌，其确诊依赖于真菌镜检和菌种培养鉴定，体外药敏试验为临床用药提供重要的参考依据，有利于彻底根治龟头炎，提高临床治疗效果，进而促进患者生活质量的改善。
目的：探析白色唸珠菌檢測對龜頭炎的診療過程的指導作用。方法：迴顧性分析我院門診2012年1月至2014年3月期間收治的118例龜頭炎患者的臨床資料，真菌鏡檢均為暘性，行菌株培養和鑒定以及體外藥敏試驗，分析菌株檢齣率、病原菌分佈情況以及藥敏試驗結果。結果：118例患者真菌鏡檢均為暘性，唸珠菌暘性率為94.92％；白色唸珠菌106株（94.64％）。培養菌株對製黴菌素和剋黴唑敏感率100.00％；白色唸珠菌對氟康唑、伊麯康唑敏感性分彆為56.86％、60.78％；1株近平滑唸珠菌對咪康唑中度敏感，對其他藥物均敏感；光滑唸珠菌對所有藥物均敏感；剋柔唸珠菌對咪康唑耐藥，其餘藥物均敏感。結論：白色唸珠菌仍為真菌性龜頭炎主要病原菌，其確診依賴于真菌鏡檢和菌種培養鑒定，體外藥敏試驗為臨床用藥提供重要的參攷依據，有利于徹底根治龜頭炎，提高臨床治療效果，進而促進患者生活質量的改善。
목적：탐석백색념주균검측대구두염적진료과정적지도작용。방법：회고성분석아원문진2012년1월지2014년3월기간수치적118례구두염환자적림상자료，진균경검균위양성，행균주배양화감정이급체외약민시험，분석균주검출솔、병원균분포정황이급약민시험결과。결과：118례환자진균경검균위양성，념주균양성솔위94.92％；백색념주균106주（94.64％）。배양균주대제매균소화극매서민감솔100.00％；백색념주균대불강서、이곡강서민감성분별위56.86％、60.78％；1주근평활념주균대미강서중도민감，대기타약물균민감；광활념주균대소유약물균민감；극유념주균대미강서내약，기여약물균민감。결론：백색념주균잉위진균성구두염주요병원균，기학진의뢰우진균경검화균충배양감정，체외약민시험위림상용약제공중요적삼고의거，유리우철저근치구두염，제고림상치료효과，진이촉진환자생활질량적개선。
Objectives:To explore the guiding role of Candida albicans on diagnosis and treatment of balan-itis.Methods:The clinical data of 118 balanitis patients treated in our hospital from 2012 January to 2014 March were retrospectively analyzed.The microscopic fungi were positive;the bacteria culture and identification and drug sensitivity test in vitro,analysis of strain rate,pathogenic bacteria distribution and drug susceptibility test were con-ducted.Results:118 patients were positive in microscopic fungi test,an positive rate of 94.92%;106 were Candi-da albicans (94.64%);sensitive rate of culture strains against nystatin and clotrimazole was 100%;the suscepti-bility of Candida albicans to fluconazole and itraconazole were 56.86% and 60.78% respectively;1 strain of candi-da parapsilosis was moderately sensitive against miconazole,and sensitive to the other agents;Candida glabrata were susceptible to all drugs;Candida krusei was resistant to miconazole,and sensitive to the rest of the drugs.Conclu-sion:Candida albicans is the major pathogenic fungus of balanitis,whose diagnosis is dependent on the microscopic examination of fungal and bacterial culture and identification.The drug sensitivity test in vitro provides reference for clinical medication,to eradicate the balanitis,improve the clinical treatment effect,and promote the improvement in life quality of patients.
