大便常规对季节性腹泻的诊断价值

Diagnostic Value of Stool Routine Examination in Seasonal Diarrhea

目的:探讨大便常规对季节性腹泻的诊断价值。方法:选取2022年5月至2023年5月我院诊治的季节性腹泻患者200例作为研究参与者,患者入院后均接受大便常规检验,对患者的检验结果进行分析,统计导致季节性腹泻病出现的致病菌情况。结果:对200例患者的大便常规检验结果进行分析,结果共检出170例细菌,细菌检出率为85.00%。春季组患者检出大肠埃希菌15例,沙门菌5例,副溶血弧菌4例,致泻性志贺菌16例,占比为20.00%(40/200);夏季组患者检出大肠埃希菌8例,沙门菌14例,副溶血弧菌13例,致泻性志贺菌10例,占比22.50%(45/200);秋季组患者检出大肠埃希菌8例,沙门菌14例,副溶血弧菌14例,致泻性志贺菌8例,占比22.00%(44/500);冬季组患者检出大肠埃希菌17例,沙门菌4例,副溶血弧菌5例,致泻性志贺菌15例,占比20.50%(41/200)。根据检验结果可知,沙门菌在夏季和秋季的检出率分别为31.11%和31.82%,沙门菌在春季和冬季的检出率分别为12.50%和9.76%,夏季和秋季的检出率明显高于春季和冬季的检出率(P<0.05);副溶血弧菌在夏季和秋季的检出率分别为28.89%和31.81%,副溶血弧菌在春季和冬季的检出率分别为10.00%和12.20%,夏季和秋季的检出率明显高于春季和冬季的检出率(P<0.05);大肠埃希菌和致泻性志贺菌在春季、夏季、秋季、冬季的检出率比较差异无统计学意义(P>0.05)。结论:通过大便常规检验,可了解季节性腹泻患者的致病因素,为临床提供治疗依据,有助于为患者提供有效的治疗方案,对加快患者康复进程具有重要意义。

Objective To explore the diagnostic value of stool routine examination in seasonal diarrhea.Methods Total 200patients with seasonal diarrhea diagnosed and treated in our hospital from May 2022 to May 2023were selected as the study participants.All patients underwent stool routine examination after admission,and the examination results of patients were analyzed to make statistics on pathogenic bacteria causing seasonal diarrhea.Results The results of stool routine examination of 200patients were ana-lyzed.Total 170cases of bacteria were detected,and the detection rate of bacteria was 85.00%.In the spring group,15cases of Escherichia coli,5cases of Salmonella,4cases of Vibrio parahaemolyticus and 16 cases of Shigella were detected,accounting for 20.00%(40/200).In the summer group,8cases of Esche-richia coli,14cases of Salmonella,13cases of Vibrio parahaemolyticus and 10cases of Shigella were detec-ted,accounting for 22.50%(45/200).In the autumn group,8cases of Escherichia coli,14cases of Salmo-nella,14cases of Vibrio parahaemolyticus and 8cases of Shigella were detected,accounting for 22.00%(44/500).In the winter group,17cases of Escherichia coli,4cases of Salmonella,5cases of Vibrio para-he-molyticus and 15cases of Shigella were detected,accounting for 20.50%(41/200).According to the exam-ination results,the detection rates of Salmonella were 31.11%and 31.82%in summer and autumn,and 12.50%and 9.76%in spring and winter,which were significantly higher in summer and autumn than in spring and winter(P<0.05).The detection rates of Vibrio paraholyticus were 28.89%and 31.81%in summer and autumn,and 10.00%and 12.20%in spring and winter,which were significantly higher in summer and autumn than in spring and winter(P<0.05).There were no significant differences in the de-tection rates of Escherichia coli and Shigella in spring,summer,autumn and winter(P>0.05).Conclusion Through stool routine examination,the pathogenic factors of patients with seasonal diarrhea can be clarified,which provides clinical basis for treatment,helps to provide effective treatment plans for pa-tients,and has important significance for speeding up the rehabilitation process of patients.