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[咽后壁固有微生物群与咽炎之间的关系]

[Relationship between indigenous microflora of posterior pharyngeal wall and pharyngitis].

作者信息

Lu X, Li L, Zhang Z

机构信息

Faculty of Life Sciences, Inner Mongolia University and Inner Mongolia Autonomous Region Hospital, Hohhot 010017, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2001 Nov 10;81(21):1313-5.

Abstract

OBJECTIVE

To investigate the relationship between the abundance and density of the normal flora in the mucous membrane of posterior pharyngeal wall and pharyngitis.

METHODS

A total of 410 samples of posterior pharyngeal wall were received from patients with acute and chronic pharyngitis and normal persons living in Hohhot Area, Inner Mongolia, from September 2000 to April 2001. Locational, qualitative, and quantitative analyses of the micro-flora were made.

RESULTS

There were 6-9 species of bacteria, belonging to 4-5 genuses, in normal persons' pharyngeal wall. alpha-hemolytic streptococcus, Neisseria, Corynebacterium, Staphylococcus, Streptococcus anaerobius, and fusiform bacillus accounted for 40%-60%, 20%-30%, 5%-10%, 4%-8%, and 0%-40% respectively of the cultured microorganisms. Hemophilus influenzae accounted for 65% of the pathogenic bacteria in acute pharyngitis. There is a close relationship between the succession of the invading organisms and indigenous micro-flora and the occurrence and development of acute pharyngitis.

CONCLUSION

The internal disorder of the proper microflora in the mucous membrane of posterior pharyngeal wall is a characteristic indicator of chronic inflammation of pharynx.

摘要

目的

探讨咽后壁黏膜正常菌群的丰度和密度与咽炎之间的关系。

方法

2000年9月至2001年4月,从内蒙古呼和浩特地区的急慢性咽炎患者及正常人中收集了410份咽后壁样本。对微生物群进行了定位、定性和定量分析。

结果

正常人咽后壁有6 - 9种细菌,分属4 - 5个菌属。α-溶血性链球菌、奈瑟菌、棒状杆菌、葡萄球菌、厌氧链球菌和梭形杆菌分别占培养微生物的40% - 60%、20% - 30%、5% - 10%、4% - 8%和0% - 40%。流感嗜血杆菌占急性咽炎病原菌的65%。入侵微生物和固有微生物群的演替与急性咽炎的发生发展密切相关。

结论

咽后壁黏膜正常微生物群的紊乱是咽部慢性炎症的特征性指标。

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