CAJ | 학술논문

目的：探讨慢性上颌窦炎患者上颌窦内细菌学分析及药敏实验情况。方法选择156例慢性上颌窦炎手术患者，在术中取上颌窦内分泌物行需氧菌、厌氧菌与真菌培养和药敏试验。结果慢性上颌窦炎患者156例中有112例患者培养出致病菌，细菌检出率为71.8%，主要为革兰氏阳性菌；同时也检出了厌氧菌和真菌，主要为表皮葡萄球菌、金黄色葡萄球菌、肺炎链球菌等。术中检出的革兰氏阳性需氧菌对万古霉素、左氧氟沙星、呋喃妥因、环丙沙星、苯唑西林这些抗生素比较敏感。结论慢性上颌窦炎患者发病与致病菌有一定的关联，围手术期使用对致病菌比较敏感的抗生素能够起到较好的效果。
목적：탐토만성상합두염환자상합두내세균학분석급약민실험정황。방법선택156례만성상합두염수술환자，재술중취상합두내분비물행수양균、염양균여진균배양화약민시험。결과만성상합두염환자156례중유112례환자배양출치병균，세균검출솔위71.8%，주요위혁란씨양성균；동시야검출료염양균화진균，주요위표피포도구균、금황색포도구균、폐염련구균등。술중검출적혁란씨양성수양균대만고매소、좌양불사성、부남타인、배병사성、분서서림저사항생소비교민감。결론만성상합두염환자발병여치병균유일정적관련，위수술기사용대치병균비교민감적항생소능구기도교호적효과。
Objective Research on chronic maxillary sinusitis in patients with maxillary sinus analysis and drug susceptibility test of bacteriology, within the intraoperative in maxillary sinus secretions to do bacterial culture and drug sensitive test, to guide the clinical treatment and medication. Methods Select 156 cases of patients with chronic maxil?lary sinusitis surgery in intraoperative take maxillary sinus in discharge line of aerobic bacteria, anaerobic bacteria and fun?gi culture and drug susceptibility test, analysis of monitoring results. Results Intraoperative inspection results in 156 of 156 patients with chronic maxillary sinusitis patients develop pathogenic bacteria. Bacteria detection rate was 71.8%, main?ly for gram positive bacteria. Also check out the anaerobic bacteria and fungi. Mainly for the epidermis staphylococcus au?reus, staphylococcus aureus, streptococcus pneumoniae, etc. Intraoperative detection gram-positive aerobic bacteria to vancomycin levofloxacin, with nitrofurantoin, ciprofloxacin and benzene azole Westwood these sensitive antibiotics. Con?clusion Patients with chronic maxillary sinusitis incidence has certain correlation with pathogenic bacteria, perioperative use of pathogenic bacteria is more sensitive antibiotics can play a better effect.