2010-2012年北京佑安医院344例麻疹患者流行病学及临床特征分析

The epidemiololgical and clinical characteristics of 344 measles cases in Beijing You'an hospital during 2010 to 2012

目的：总结2010-2012年北京佑安医院收治的麻疹患者的流行病学特征及临床特征。方法回顾性分析北京佑安医院2010-2012年收治的344例麻疹患者的病历资料。结果3岁以下婴幼儿及青壮年麻疹患者的构成比较高，分别为71.0%和14.2%；麻疹发病高峰集中于3～5月份；患者均有皮疹，中高度发热者占92.7%，最常见并发症为肝损伤（87.0%），其次为肺炎（82.6%），整体预后较好。结论加强麻疹疫苗的接种管理、注意特殊人群的免疫保护是消除麻疹的关键。

Objective To summarize the epidemiological and clinical features of measles in Beijing You＇an hospital during 2010-2012. Methods The medical records of 344 measles cases admitted to Beijing You＇an hospital during 2010 to 2012 were studied retrospectively. Results The measles occurred most commonly in children and young adults. The constituent ratio of children and young adults was 71.0%and 14.2%respectively. The incidence peak of measles was from March to May, and the duration of measles had been shortened year by year. All patients had skin rash, and the patients with moderate and high fever accounted for 92.7%. The most common complication was hepatic damage （87.0%）, and fol-lowed by pneumonia （82.6%）. Most cases had good prognosis. Conclusion The inoculation of measles vaccine should be improved. It is the key to eliminate measles that measles vaccination management should be strengthened and the vaccina-tion to special groups should be paid more attention.