蜂蛰伤爆发临床分析及与气象因素的关系

Clinical Analysis of Wasp Sting Outbreak in Relation to Meteorological Factors

目的:通过对2006年湖北省某地区蜂蛰伤爆发255例的调查,分析就诊时间与预后的关系及气象因素对爆发的影响。方法:将患者按从发病到就诊的时间分为2组,2d内就诊的为A组,2d后的为B组,统计其不同的预后转归情况;并利用2004-2006年夏季气象资料进行复合指数(温雨系数)分析,结合蜂生活习性研究导致蜂蛰伤爆发因素。结果:A组患者预后与B组有明显差异,χ2=4.131,P<0.05。2006年温雨系数明显下降,与前2年有显著差异性(P<0.05,P<0.05),而2004年与2005年之间无明显差异(P>0.05)。结论:蜂蛰伤患者应早期(<2d)及时就诊,可提高治愈率和减少严重并发症的发生。连续2年夏季多雨后遇适当天气条件下高温少雨可能是导致蜂蛰伤爆发的基础。

Objective： To investigate the influence of meteorological factors on wasp sting outbreak in one area of Hubei Province in 2006, and to analyze the relationship between the treatment timeand prognosis. Methods： The patients were divided into two groups according to the time of re- ceiving treatment. The outcomes were analyzed in relation to the time for treatment. The relation between wasp sting outbreak and meteorological data （temperature and rainfall coefficient） were also analyzed. Results： The time of receiving treatment had significant impact on the outcome of wasp sting patients （_P〈0.05）. The occurrence of wasp sting was correlated to the temperature and rainfall coefficient during year 2004-2006. Conclusion： Early treatment can improve the cure rate and reduce the severe complications of wasp sting. High temperature and less rainfall may be one of the causes of waso stinu outbreak_