急性腹泻患者粪便细菌培养及临床特征探析

Bacterial Culture and Clinical Characteristics of Faeces of Patients with Acute Diarrhea

目的:对急性腹泻患者的粪便细菌培养结果和临床特征进行分析。方法:研究2016年3月~2016年6月期间进行治疗的急性腹泻患者,对这些患者的粪便进行细菌培养,并观察患者的临床症状。结果:97例急性腹泻患者中,33例为急性肠炎,29例为胃肠功能紊乱,17例为腹泻待查,15例为急性菌痢,6例为消化不良。粪便细菌培养为阳性的患者共28例,包括10例副溶血弧菌、7例志贺菌属、5例类志贺邻单胞菌、4例沙门菌、2例温和气单胞菌。结论:在急性腹泻患者感染的肠道致病菌中,副溶血弧菌为最主要的病菌;临床确诊不应过分依赖粪便细菌培养结果。

Objective：To analyze the bacterial culture results and clinical features of patients with acute diarrhea.Methods：The acute diarrhea patients treated from March 2016 to June 2016 were studied,and the stool of these patients were bacterial cultured,then the clinical symptoms of patients were observed.Results：Among 97 cases of acute diarrhea patients,there were 33 cases of acute enteritis,29 cases of gastric bowel function disorder,17 cases of diarrhea in dispute,15 cases of acute bacillary dysentery,and 6 cases of indigestion.There were 28 cases of patients with positive stool bacterial culture including 10 cases of vibrio parahaemolyticus,7 cases of shigella,5 cases of plesiomonas shigelloides,4 cases of salmonella bacterium,and 2 cases of mild air unit cell.Conclusion：Vibrio parahaemolyticus is the main pathogen in the intestinal pathogenic bacteria of patients with acute diarrhea,and clinical diagnosis should not be too dependent on the results of fecal bacterial culture.