慢性阻塞性肺病痰培养分析及健康指导

Analysis of sputum cultivation on chronic obstructive pulmonary disease and its guidance on health

目的了解慢性阻塞性肺病急性加重期(AECOPD)患者痰培养的细菌种类。方法对95例AECOPD患者有痰培养结果的病例进行分析。结果经细菌学鉴定为革兰氏阳性球菌18例(占18.94%),革兰氏阴性杆菌74例(占77.89%),真菌3例(占3.16%)。结论①革兰氏阴性杆菌为AECOPD患者的主要致病菌,部分患者并有真菌感染;②根据痰培养结果可提供恰当的健康指导。

Objective To find out the kinds of bacterium of sputum cultivation in exacerbation of chronic Obstructive pulmonary disease （AECOPD） and to provide health instruction for these patients. Methods The results of sputum cultivation in 95 cases of AECO- PD patients were analyzed retrospectively. Results G ＋ coccus were 18 cases（ 18.94% ） ,G - bacillus were 74 eases （77. 89% ） ,and epiphyte of 3 cases （ 3. 16% ） by bacteriological checkup. Condustons ① G - bseillus were the most important bacterium, and epi- phytc were incorporated in few patients;②Thc felicitous health instruct can be provided for the patients with COPD according to their re- suits of sputum cultivation.