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烧伤创面真菌感染的环境因素 被引量:9

INVESTIGATIONS OF EPIDEMIOLOGY ON FUNGI INFECTION IN THE WOUNDS OF BURN PATIENTS
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摘要 目的探讨亚热带气候环境下烧伤创面真菌感染与温湿度的相关性。方法:对514例次烧伤病人创面定期采样进行真菌学培养,菌种鉴定。用干湿温度计定时(每天)记录烧伤病房温湿度,并用多元相关和圆形分布统计学方法进行分析。结果:检测期间.本院烧伤病房创面真菌检出率28.6%,烧伤创面真菌带菌率的最适宜定温为28℃,适宜范围为26℃~31℃;最适宜相对湿度为78,适宜相对湿度范围为77~80。结论:本调查提示温湿度作为环境因素对烧伤创面真菌检出率有显著差异性但不表明温湿度亦大.真菌感染率亦高。温度在26℃~31℃,湿度在77~80易发生真菌感染;本地区可能4、6~9月份真菌感染机会增大。 Objective: To study fungi infect degree of partial thickness burnwounds under climate is hot and humid in our wards where is subtropics.Methods: 514 examples which came from the wounds of partial thickness burn patients (TBSA 30.39±12. 43 % ) were observed with cultivation of fungi organisms from May 1996 to April 1998.With wet-dry bulb hygrometer, the date of temperature and humidity in wards were signed daily, and the results were analyzed by statistic methods of multiple correlation and circular distribution. Results: There were 24. 99 ±3. 55 mean temperature and 82.2± 3. 35 mean relative humidity at our wards during research. It was a significant difference that effects of temperature on fungi incidence,so did humidity. The fungi incidence was 28. 6% but no case happened to fungi infection. The fitting temperature of fungi incidence ranged from26t to 31℃, the fitting relative humidity of fungi incidence ranged from 77 to 80. Conclusions: It was indicated that temperature and humidity had some effects on fungi incidence of burn wounds, but temperature and humidity was not vital factors causing fungi infection to burn patients unless immunity lower. The peport showed that fungi infection may increased when wounds were exposed to temperature at 26℃ ~ 31℃ and relative humidity at 77~80, there were more infect chances from June to September than that at the others in our wards.
出处 《海南医学》 CAS 2000年第3期21-22,共2页 Hainan Medical Journal
关键词 烧伤 创面 真菌感染 环境因素 Burns wound Fungi Temperatue Humiotity
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参考文献4

  • 1常致德等著..烧伤创面修复与全身治疗[M].北京:北京出版社,1993:365.
  • 2许伟石..现代烧伤治疗[M],1995.
  • 3廖万清,葛绳德.烧伤创面真菌谱及其带菌率[J].临床皮肤科杂志,1991,20(6):290-292. 被引量:2
  • 4涂瀛 熊鸿燕 等.重庆某烧伤病房真菌的流行病学调查[J].中华外科杂志,1988,26:434-434. 被引量:1

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