CAJ | 학술논문

目的：探讨上饶地区真菌性角膜炎病菌检测及病原菌种类。方法选取2008年1月~2014年10月上饶地区确诊为真菌性角膜炎患者88例(88眼)为研究对象，取患者病变角膜上皮组织，分别采用真菌直接涂片和真菌培养进行检测，并对阳性者进行菌株鉴定，统计两种检测方法阳性率及阳性者病原菌种类。结果真菌涂片和真菌培养阳性率分别为68.18%和81.81%。真菌培养72份阳性病菌中经鉴定共分出12属24种病原菌，其中主要为镰刀菌属感染，共44株(61.1%)，其次为曲霉菌属和弯孢霉属，分别为11株(15.3%)和8株(11.1%)。结论上饶地区真菌性角膜炎主要感染病菌为镰刀菌属、曲霉菌属和弯孢霉属，通过真菌涂片和真菌培养可有效检测和鉴定。
목적：탐토상요지구진균성각막염병균검측급병원균충류。방법선취2008년1월~2014년10월상요지구학진위진균성각막염환자88례(88안)위연구대상，취환자병변각막상피조직，분별채용진균직접도편화진균배양진행검측，병대양성자진행균주감정，통계량충검측방법양성솔급양성자병원균충류。결과진균도편화진균배양양성솔분별위68.18%화81.81%。진균배양72빈양성병균중경감정공분출12속24충병원균，기중주요위렴도균속감염，공44주(61.1%)，기차위곡매균속화만포매속，분별위11주(15.3%)화8주(11.1%)。결론상요지구진균성각막염주요감염병균위렴도균속、곡매균속화만포매속，통과진균도편화진균배양가유효검측화감정。
Objective To explore the pathogen checking and pathogenic species of mycotic keratitis in Shangrao dis-trict. Methods 88 mycotic keratitis patients (88 eyes) from January 2008 to October 2014 of Shangrao district were se-lected as study object.Lesion corneal epithelium of patients were got.Direct fungi smear and fungal culture were used for detection respectively.Strains identification was used for positive patients.The positive rate of two methods and pathogenic species of positive patients were counted. Results The positive rate of fungi smear and fungal culture were respectively 68.18% and 81.81%.Among 72 positive germs from fungal culture,a total of 12 genera and 24 species of pathogenic bacteria by identify,mainly with sickle bacterial infection,a total of 44 strains (61.1%); Followed by as-pergillus species and bending spore mildew genera,respectively 11 strains (15.3%) and 8 strains (11.1%). Conclusion The mainly pathogens of mycotic keratitis in Shangrao district are sickle bacteria genera,aspergillus species and bent spore mildew.It can detection and authenticate by fungi smear and fungal culture.