甲型H1N1流感与其他类型流感的临床对比初步分析

The preliminary analysis between the influenza A H1N1 and other types of influenza

目的探讨甲型H1N1流感的临床特点。方法2009年8月～11月流感样病例中甲型H1N1流感106例与其他类型流感63例进行对比分析,比较两组病例是否存在差异。结果甲型H1N1流感组平均年龄低于其他类型流感组、平均病程短于其他类型流感组,差异有显著性(P<0.05);两组病例均以高热(>39℃)、咽痛、咳嗽、全身酸痛为常见症状,差异均无显著性(P>0.05);两组病例外周血象中白细胞总数均不升高,差异无显著性(P>0.05);两组患者在病程前后1周内均有较高的传染情况,差异无显著性(P>0.05)。结论甲型H1N1流感以青壮年为多见,可以人传染人,常见症状为高热(>39℃)、咽痛、咳嗽、全身酸痛,很难从症状、外周血象上与其他季节性流感区分,预后良好,短期内自愈。

Objective To explore the clinical characteristic of the Influenza A H1N1. Methods Compare and analysis the difference between the 106 Influenza A H1N1 and other 63 flu from August to Novenber in 2009. Compare whether it has difference in sex, morbidity age, clinical symptom, laboratory inspection. Results The average age of the Influenza A H1 N1 is lower than other type of flu, and the average course is shorter than other flu, the difference has the significance （P 〈 0.05）. The common symptom of the two groups are fever （ 〉 39℃ ）, sore throat, cough and body ache, the difference hasn＇t the significance （ P 〉 0. 05 ）. The white blood cell total of the circumference blood does not elevate in both two groups, （ P 〉 0.05 ）. The patient of the two groups all have high infection before and one week after the illness （ P 〉 0. 05 ）. Conclusion The influenza A H1 N1 is more common in the young and middle-aged, and can communicate between person to person. The common symptom are fever （ 〉 39℃ ）, sore throat, the cough and body ache, which is difficult to differentiate from other seasonal flu. The influenza A H1 N1 usually has a good prognosis and short-term self-recovery.