摘要
目的:探讨脑血管病患者抗生素相关性腹泻(AAD)的发病因素,提高对AAD的认识。方法:对我院神经内科29例AAD的脑血管病患者的临床资料进行回顾性分析。结果:高龄、原发感染严重、并发症多、频繁更换抗生素或联合使用抗生素、侵袭性操作较多、卧床患者腹泻前使用通便药等均是重要的诱发因素,意识障碍越重、抗生素更换越频繁,腹泻持续时间越长。结论:合理应用抗生素,可以降低脑血管病患者AAD的发生率及严重程度,合理治疗可以缩短腹泻持续时间。
Objective:To obtain a further understanding of the clinical manifestations and relative factors of antibiotic associated diarrhea in cerebrovascular patients.Methods:To retrospectively analyze the antibiotics usage status in 29 examples of antibiotic associated diarrhea in the department of neurology in our hospital from Jan.2005 to May 2009.Results:The duration and severity of diarrhea depended on the age,complicated disease of patient, changing antibiotics frequently or combining to use antibiotic,invasive manipulation, using cathartic before diarrhea.The more serious disorders of consciousness and the more frequently changing antibiotics,the longer diarrhea will last.Conclusion:The incidence and severity of antibiotic associated diarrhea can be reduced by using antibiotic more rationally. Rational treatment may reduce the duration of diarrhea.
出处
《现代医药卫生》
2010年第20期3052-3053,共2页
Journal of Modern Medicine & Health
关键词
脑血管病
抗生素相关性腹泻
Cerebrovascular disease
Antibiotic associated diarrhea