肝硬化并发自发性细菌性腹膜炎的临床分析及预防护理效果观察

摘要

Objective To observe the pathogen and clinical analysis of liver cirrhosis complicated with spontaneous bacterial peritonitis, its corresponding preventive nursing effect by simple analysis. Methods Randomly selected patients with liver cirrhosis complicated with spontaneous bacterial peritonitis (SBP) 60 cases as research object, to analyze the clinical data and so on. Results 60 patients in 29 cases of ascites germiculture positive, positive rate is 48.3% ;With more than 32 cases, separation of bacteria mainly gram-negative bacil i, escherichia coli in 13 cases (21.7%) as the main pathogenic bacteria ;The third generation cephalosporin and third generation fluoroquinolone drugs are sensitive. Conclusion The complications of cirrhosis SBP galanz negative bacillus excess of pathogenic bacteria, e. coli is the main pathogenic bacteria, the selection of the third generation cephalosporin and third generation fluoroquinolone drugs as the main anti-infection drugs, should pay attention to consciousness in nursing and psychological care, to prevent infection.%目的：观察肝硬化并发自发性细菌性腹膜炎的病原菌和临床分析情况，对其相应的预防护理效果作以简单分析。方法随机选取肝硬化并发自发性细菌性腹膜炎患者（以下简称 SBP）60例作为观察对象，对其临床资料等进行分析。结果60例患者中有29例腹水细菌培养阳性，阳性率为48.3%；其中分离细菌32例，多以革兰氏阴性杆菌为主，其中大肠杆菌为13例（21.7%）作为主要致病菌；第三代头孢菌素和第三代氟喹诺酮类药物有敏感。结论肝硬化并发症 SBP 多余格兰仕阴性杆菌为病原菌，主要致病菌是大肠杆菌，选取第三代头孢菌素和第三代氟喹诺酮类药物作为主要抗感染药物，在护理上要注重意识与心理的护理，预防感染。