尘肺合并肺部感染常见病原菌分布情况及耐药性分析-内科学(呼吸系病)专业论文.docxVIP

菌素三代、四代耐药性较严重。 2.研究不同期别尘肺患者合并肺部感染的常见病原菌分类。 3.研究不同类别尘肺患者合并肺部感染的常见病原菌分类。 4.研究不同合并症尘肺患者合并肺部感染的常见病原菌分类。 5.根据尘肺患者不同期别分类，合并肺部感染率各组人数比较，差异有 统计学意义（P＜0.01）。 6.按照尘肺患者不同年龄段分类，合并肺部感染率各组感染人数比较， 差异有统计学意义（P＜0.01）。 7.按照尘肺患者不同接尘工龄分类，合并肺部感染率各组感染人数比较， 差异无统计学意义（P＞0.05）。 8.根据尘肺患者不同工种分类，合并肺部感染率各组感染人数比较，差 异有统计学意义（P＜0.01）。 结论 革兰氏阴性杆菌为尘肺患者合并肺部感染的主要致病菌,但常用抗 菌药物的耐药性情势严重，对细菌耐药性的变化应加强监测,从而合理使用抗 菌药物，提高病人生存质量。 关键词：尘肺；肺部感染；痰培养；病原菌；耐药性 Abstract Objective Do different period, different types and classes of drug resistance of pathogens in lower respiratory tract infections in patients with pneumoconiosis for statistical analysis, to provide clinical evidence for clinicians early empiric antimicrobial therapy. Methods Choose since July 2011 to July 2014 in our hospital patients with pneumoconiosis 1752 cases, which merged with lower respiratory tract infections total 982 cases, including 271 cases of pulmonary infection silicosis, pneumoconiosis welders 253 cases of pulmonary infection, black 102 cases of pneumoconiosis pulmonary infection, pulmonary infection caster 95 cases of pneumoconiosis, coal workers pneumoconiosis pulmonary infection 88 cases, 72 cases of pulmonary infection cement pneumoconiosis, talc pneumoconiosis 56 cases of pulmonary infection, graphite pneumoconiosis merger pulmonary infection in 31 cases, 14 cases of asbestosis pulmonary infection.All male, aged 37 to 85 years, mean (54.18 ± 7.43) years. Divided into four groups according to age, were more than 35 years old, 36-50 years old, 51-69 years old,and 70 years old. Under the 982 cases of patients with upper respiratory tract infection in 485 cases of stage I patients, aged 37 to 61 years, mean (52.4 ± 6.0) years old; II stage group 286 cases, aged 43 to 74 years, mean (56.2 ± 8.9) years; Phase III 211 cases of the group, aged 42 to 85 years, mean (56.1 ± 8.3) years.Depending on whether patients with chronic obstructive pulmonary disease, bronchiectasis, bronchial asthma pneumoconiosis patients will be divided into three grou