急性盆腔炎的致病菌分析及治療

[摘要] 目的 分析急性盆腔炎的致病菌、發(fā)病特點(diǎn)和耐藥性，以幫助患者選擇合適的治療方式。 方法 方便選取該院于2014年9月—2015年8月收治的90例急性盆腔炎的患者進(jìn)行回顧分析，分析致病菌的種類、發(fā)病特點(diǎn)及使用的治療藥物等。 結(jié)果 患者的年齡在18～48歲，該病的主要誘因?yàn)殛幍啦灰?guī)則出血、流產(chǎn)或行宮腔內(nèi)手術(shù)；該病的主要表現(xiàn)癥狀有下腹疼痛、發(fā)燒、白帶增多等；所有患者均接受抗生素的治療，其中以單一抗生素治療為主；藥敏測(cè)試結(jié)果中，青霉素類抗生素的檢測(cè)次數(shù)為199次，耐藥率為60.80%，其次是頭孢類抗生素，耐藥率為23.92%；患者在接受致病菌敏感抗生素使用和致病菌耐藥抗生素使用，治療效果比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論 急性盆腔炎多發(fā)于育齡女子，患者會(huì)出現(xiàn)子宮或附件區(qū)壓痛等癥狀，該病致病菌以大腸桿菌及表皮葡萄菌為主；患者應(yīng)選用抗生素進(jìn)行治療，具體抗生素種類的選擇要依據(jù)患者宮頸管細(xì)菌培養(yǎng)和藥敏結(jié)果綜合考慮。

[關(guān)鍵詞] 急性盆腔炎；致病菌；治療方式

[中圖分類號(hào)] R5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2016）10（b）-0028-03

[Abstract] Objective To analyze the acute pelvic inflammatory disease pathogens， disease characteristics and resistance to help patients choose the right treatment. Methods Convenient selection 90 cases of patients with acute pelvic inflammatory disease hospital in September 2014 — August 2015 were retrospectively analyzed， analysis of the types of pathogens， disease characteristics and treatment of drug use and the like. Results The patients aged 18 to 48 years， the disease is a major cause of irregular vaginal bleeding， miscarriage or palace cavity surgery； mainly manifested symptoms of the disease are abdominal pain， fever， increased vaginal discharge and so on； all patients were treated with antibiotics the treatment， in which a single antibiotic therapy； susceptibility test results， the number of detections of penicillin antibiotics 199 times， resistance rate was 60.80 percent， followed by cephalosporins， resistant rate of 23.92%； patients receiving pathogenic bacteria sensitive to antibiotics and antibiotic resistance， treatment effect was not statistically significant（P> 0.05）. Conclusion Acute pelvic inflammatory disease， mainly in the woman of childbearing age， the patient will appear uterus or attachment area tenderness and other symptoms， the disease pathogenic E. coli and Staphylococcus epidermidis bacteria dominated； patients should use of antibiotics for treatment of specific types of antibiotic selection should be based on patients with cervical bacterial culture and sensitivity results into account.

[Key words] Acute pelvic inflammatory disease； Pathogen； Treatment

急性盆腔炎是常見的婦科疾病，病發(fā)時(shí)不會(huì)局限于一個(gè)部位，常常會(huì)同時(shí)累及子宮、輸卵管、卵巢等。該病若沒有得到及時(shí)有限的治療，很可能會(huì)發(fā)展成為彌漫性腹膜炎、敗血癥、感染性休克，嚴(yán)重影響患者的身體健康與生活質(zhì)量[1]。為了進(jìn)一步了解急性盆腔炎的發(fā)病特征、致病菌的情況，幫助患者更好的選擇治療方式，故方便選取2014年9月—2015年8月該院婦科收治的急性盆腔炎患者90例為研究對(duì)象進(jìn)行實(shí)驗(yàn)，現(xiàn)報(bào)道如下。……