呼吸系统疾病发生真菌感染相关因素分析

The Analysis of Related Factors of Fungal Infection for Respiratory System Disease

目的:探讨呼吸系统疾病发生真菌感染相关因素。方法:选取2011年1月-2014年4月笔者所在医院经痰液真菌培养后确诊的38例呼吸系统疾病真菌感染患者,采用真菌培养的方法了解真菌种类,并对感染因素进行分析。结果:本研究中,真菌感染的基础病比例最高的是慢性支气管炎,占42.11%,其次分别为肺肿瘤26.32%、肺源性心脏病15.79%、肺气肿10.53%、肺炎5.26%。呼吸系统疾病真菌感染最高的为白色念珠菌,占68.42%;呼吸系统疾病真菌感染与年龄、抗生素应用、病程均具有明显关系,年龄越大、抗生素应用滥用、病程越长,患者发生真菌感染的几率越高(P<0.01)。结论:呼吸系统疾病患者在诊断时给予积极有效的辅助检查措施,杜绝药物滥用,给予合理有效的治疗措施,从而确保治疗效果,避免真菌感染的发生,促进患者早日康复。

Objective：To discuss the correlation factors of fungal infection for respiratory system diseases.Method：38 patients with fungal infection for respiratory system disease from January 2011 to April 2014 in our hospital were selected,the fungal species by fungal culture methods, infection factors were analyzed.Result：In this study,chronic bronchitis was the highest disease with 42.11%,lung tumor with 26.32%,pulmonary heart disease with 15.79%,pulmonary emphysema with 10.53%,pneumonia with 5.26%,it showed that Candida albicans was the highest fungal infection with 68.42%;for that,respiratory system disease fungus infection related with age,antibiotic application abuse,duration of antibiotics.Once age was higher,antibiotic application abuse,duration of antibiotics were longer,fungal infection incidence was higher（P〈0.01）.Conclusion：Patients with respiratory diseases should been given active and effective inspection measure,refuse drug abuse,and provide reasonable treatment measure so that patients can make sure treatment effect,avoid fungal infection occurrence,and promote early rehabilitation of patients.