单纯或混合细菌感染肺炎支原体肺炎临床对照分析.docVIP

精品论文 参考文献 单纯或混合细菌感染肺炎支原体肺炎临床对照分析 乐山职业技术学院附属医院 四川乐山 614218 　　【摘 要】目的：探讨单纯或混合细菌感染肺炎支原体肺炎患者的临床差异。方法：本次研究对象选取本院在2015年3月-2016年2月期间收治90例单纯或混合细菌感染肺炎支原体肺炎患者，其中包括56例单纯细菌感染肺炎支原体肺炎患者与34例混合细菌感染肺炎支原体肺炎患者。对所有患者的临床资料进行回顾性分析，比较两组患者临床差异。结果：在34例B组患者中，痰培养检测结果均为阳性，其中包括6例肺炎克雷伯菌、11例肺炎链球菌、4例鲍氏不动杆菌、11例副流感嗜血杆菌以及2例其他细菌。B组患者住院时间、热程、WBC以及Neu指标明显高于参照组（P＜0.05）；而CRP指标差异无统计学意义（P＞0.05）。在影像学检查中，B组患者肺不张发生率明显高于A组（P＜0.05），而胸膜炎发生率差异无统计学意义（P＞0.05）。结论：单纯或混合细菌感染肺炎支原体肺炎患者在临床上具有一定差异，导致患者病情复杂，且难以治愈的原因在于肺炎支原体混合其他病原感染。 　　【关键词】单纯或混合细菌感染；肺炎支原体；肺炎患者；临床差异 　　[Abstract] Objective：To investigate the clinical difference of patients with Mycoplasma pneumoniae pneumonia infected by simple or mixed bacteria.Methods：The object of this study selected in our hospital during March 2015 -2016 year in February 90 cases of pure or mixed bacterial infection with mycoplasma pneumonia，including mycoplasma pneumonia patients and 34 cases of mixed bacterial infection of mycoplasma pneumonia infection in 56 patients with bacteria. The clinical data of all patients were retrospectively analyzed and compared two groups of patients with clinical the difference.Results：In 34 cases of B patients，the sputum culture results were positive，including 6 cases of Klebsiella pneumoniae，Streptococcus pneumoniae in 11 cases，4 cases of Acinetobacter baumannii，11 cases of Haemophilus and 2 cases of other bacterial.B patients hospitalization time，duration of fever，WBC and Neu significantly higher than the reference group（P lt; 0.05）；and CRP had no statistical difference（P gt; 0.05）. The imaging examination in B patients the incidence of atelectasis was significantly higher than A group（P lt; 0.05），but no significant differences in the incidence of pleurisy（P gt; 0.05）.Conclusion：Simple or mixed bacterial infection in patients with Mycoplasma pneumoniae pneumonia patients have a certain difference in the clinical，resulting in the patients condition is complicated，and it is difficult to cure because of Mycoplasma mixed with other pathogens infection.