论文部分内容阅读
目的探讨不同年龄组病原体与哮喘急性发作的关系,为临床治疗提供依据。方法对于2012年10月~2013年4月在海口市人民医院呼吸内科就诊的153例哮喘急性发作患者,依年龄分为青年组(18~40)岁72例,占47.1%,中老年组(41~70)岁81例,占52.9%,进行呼吸道病原九联检和痰培养并对结果进行统计分析。结果 153例患者中,有78例检出非细菌性病原体,阳性率为51.0%,其中青年组检出62例,阳性率为86.1%,中老年组检出16例,阳性率为19.8%,两组比较差异有统计学意义(P<0.05)。分离出菌株78株,青年组检出菌株11株,占14.10%,中老年组检出菌株67株,占85.90%,两组比较差异有统计学意义(P<0.05)。结论不同年龄组哮喘急性发作的病原体不相同,青年组以非细菌病原体为主,中老年组以细菌为主,治疗时需选择合适的方案。
Objective To explore the relationship between pathogens in different age groups and acute exacerbation of asthma and provide evidence for clinical treatment. Methods A total of 153 acute asthma exacerbations were enrolled in the Department of Respiratory Medicine, Haikou Municipal People’s Hospital from October 2012 to April 2013. The patients were divided into two groups according to their age, 72 (18-40) years old (47.1%), middle-aged and elderly patients 41 to 70 years old 81 cases, accounting for 52.9%, respiratory tract infection and sputum nine tests and statistical analysis of the results. Results Of the 153 patients, 78 were detected non-bacterial pathogens, the positive rate was 51.0%, of which 62 cases were detected in the young group, the positive rate was 86.1%, 16 cases were detected in the middle-aged group, the positive rate was 19.8% The difference between the two groups was statistically significant (P <0.05). 78 isolates were isolated, of which 11 strains were detected in the youth group (14.10%), and 67 strains were detected in the middle-aged group (85.90%). There were significant differences between the two groups (P <0.05). Conclusions The pathogens of acute asthma in different age groups are not the same. The non-bacterial pathogens are the main cause of the disease in youth group. The bacteria are mainly in the middle-aged and elderly groups. The appropriate regimen should be selected in the treatment.