慢性阻塞性肺病急性恶化合并呼吸衰竭患者肺部微生物变化研究

doi:10.3969/j.issn.1006-6233.2018.09.013

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Abstract Objective: To investigate the effect on the changes of lung microbial in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods: 182 patients with acute exacerbation of COPD with respiratory failure from our hospital were selected. The sputum specimens were inoculated on blood plate, Jimmy Kang Kai, flat plate and flat sandy Paull chocolate. The drug resistance and changes of lung microbial continuity were tested and compared. Results: Gram-negative bacteria were the main bacteria, Gram-positive bacteria and fungi were more, and the proportion of microorganisms was gradually increasing (P<0.05). The resistance rate of tetracycline in Pseudomonas aeruginosa showed a downward trend (P<0.05). The drug resistance rate of amikanamycin, carbapenems, levofloxacin, piperacillin tazobactam and cefoperazone sulbactam increased (P<0.05). The resistance rates of the treatment of Bauman 's Acinetobacter to common antibiotics, carbon - and - resistant strains, and the resistance rates of the drug to the south of the Bacillus were higher,(P<0.05). The resistance rate of Klebsiella pneumoniae to gentamicin, carbapenem, beta lactamase inhibitor and three generation cephalosporins increased (P<0.05). There was a downward trend in piperacillin tazobactam (P<0.05). Escherichia coli was the most common drug resistance rate was on the rise,(P<0.05). The resistance rate of the drug in the south of the drug and the resistance of the ammonia to the south of the ammonia was decreased(P<0.05). Staphylococcus aureus s a rising trend in the use of antibiotics and most of the drug resistance rate,(P<0.05). Clindamycin resistance and SMZ-TMP rate decreased(P<0.05). Conclusion: The continuous changes in lung microbes in patients with acute exacerbation of COPD and respiratory failure have diagnostic significance for the development of acute exacerbation of COPD, the development of respiratory failure and the treatment of respiratory failure.

Key words： COPD Respiratory failure Lung microbe

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	LIU Rong
	GENG Xinpu
	SHAO Xingxing

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LIU Rong,GENG Xinpu,SHAO Xingxing. The Changes of Lung Microbial in Patients with Acute Exacerbation of COPD with Respiratory Failure[J]. HeBei Med, 2018, 24(9): 1454-1458.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.09.013 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I9/1454

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