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为探讨住院病人带真菌情况及其临床意义,作者对住院3天以上的1109例病人的腔孔(眼内眦、鼻前庭、外耳道)、皮肤(指缝、肘窝、腋窝、乳头)和粘膜(咽、阴道、冠状沟和肛管)共11个部位取材培养真菌,并检查201名健康人作为对照组。结果:总带菌率:病人组为88.73%,对照组为76.62%,差异有显著意义(χ2=21.61)。在病人组中,白血病、肿瘤、结缔组织病、重症感染和内分泌性疾病者的带菌率明显高于其他病人(χ2=4.30~9.87)。病人组和对照组的带菌率均以腔孔部最高,分别为80.70%和71.64%;皮肤最低,分别为20.02%和13.43%;粘膜带菌率分别为50.77%和32.34%。差异均有显著意义。带菌总株数:病人组1884株(念珠菌561株,占29.78%;曲霉菌458株,占24.31%),平均为1.92株/例;对照组234株(青霉菌106株,占45.30%;酵母菌61株,占26.07%),平均为1.52株/例。病人组中人院3~10天和20天以上者带菌率较住院10~20天者高(χ2=5.633~97.09)。用抗生素和皮质激素以前和用药20天以上者带菌率较用药1~20天者高(χ2=5.56~11?
In order to explore the situation of in-patients with fungi and its clinical significance, the author studied the clinical data of 1109 patients who had been hospitalized for more than 3 days with cavity (intraocular eye, nasal vestibule and external auditory canal), skin (finger, elbow, armpit and nipple) (Pharynx, vagina, coronal and anal canal) were harvested from 11 parts of fungi, and examined 201 healthy people as a control group. Results: The total carrier rate was 88.73% in the patient group and 76.62% in the control group, the difference was significant (χ2 = 21.61). The incidence of leukemia, tumor, connective tissue disease, severe infection and endocrine disease was significantly higher in patients than in other patients (χ2 = 4.30-9.87). The rate of infection in the patient group and the control group were the highest, accounting for 80.70% and 71.64%, respectively; the lowest in the skin was 20.02% and 13.43% respectively; the rates of mucosal infection were 50.77 % And 32.34%. Differences are significant. The total number of strains carrying bacteria was 1884 (Candida albicans: 561, accounting for 29.78%; Aspergillus: 458, accounting for 24.31%), with an average of 1.92 / case; , Accounting for 45.30%; yeast 61, accounting for 26.07%), an average of 1.52 strains / case. Hospital patients in the hospital for 3 to 10 days and 20 days more than those who hospitalized 10 to 20 days were higher (χ2 = 5.633 ~ 97.09). With antibiotics and corticosteroids before and medication for more than 20 days than those who take drugs for 1 to 20 days higher (χ2 = 5.56 ~ 11?