2013～2016年吉林地区金黄色葡萄球菌的流行病学分析

From 2013 to 2016 Epidemiological analysis of Staphylococcus aureus in Jilin area

目的研究吉林中心医院和吉林医药学院附属医院检验科分离的金黄色葡萄球菌(SA)的流行病学特征,为临床治疗和用药提供依据。方法对收集的986株SA,采用稀释法等方法得出药敏结果,和回顾分析患者的科室等相关临床资料。结果在986株SA中,691例患者确定为MRSA感染者。在性别方面,MRSA患者中,男性感染者435例,女性感染者为256例,在MSSA患者中,男性感染者157例,女性感染者138例。两组患者比较,差异有统计学意义(P<0.05)。在不同标本MRSA检出结果方面,MRSA检出率最高的为深静脉导管,高达86.05%,痰液和烧伤创面等次之,MRSA检出率分别为72.90%和72.66%。不同科室MRSA检出结果方面,脑外科MRSA检出率最高,达到86.96%,消化科和ICU次之,MRSA检出率分别为85.71%和80.00%。结论 MRSA的感染情况较为严重,医院内各个科室应进一步加强MRSA的预防和治疗工作。

Objective To analyze the risk factors and Countermeasures of recurrent laryngeal nerve injury in thyroid surger.Methods Patients with thyroid surgery in our hospital from January2006to January2016were treated550cases,clinical data were retrospectively analyzed.Results All550cases of patients,nine patients had recurrent laryngeal nerve injury,the occurrence of recurrent laryngeal nerve injury rate of1.6%;univariate analysis found that thyroid extensive surgery,multiple surgeries and malignant thyroid lesions appear throat risk factors back nerve damage;extensive thyroid surgery,recurrent laryngeal surgery revealed recurrent laryngeal nerve injury can make to reduce the incidence(P<0.05);conservative surgery,intraoperative recurrent laryngeal nerve and will not reveal whether affect on the incidence of recurrent laryngeal nerve injury.Conclusion If the extent of disease in patients with benign tumors of the thyroid gland is not,when thyroid surgery,so that the dorsal part of the thyroid tissue is preserved,does not reveal the recurrent laryngeal nerve with high security;if patients with extensive thyroidectomy is respond to routine RLN dissection,and thus to reduce the probability of occurrence of recurrent laryngeal nerve injury.