32例恙虫病临床诊治分析

Clinical Analysis of 32 Cases of Tsutsugamushi Disease

目的:总结并分析羌虫病的诊断及治疗方法以便改善和提高。方法:选取我院2012年9月和2013年12月诊治的32例恙虫病患者,首先统计全部患者初诊及住院3天后诊断结果,其次随机分为两组,一组患者采取阿奇霉素进行治疗,另一组则采用传统四环素治疗,对比两组患者治疗后痊愈状况。结果:初诊后漏诊率为53.13%,误诊率为34.38%,住院3天后漏诊率为9.37%,误诊率为6.25%,比较结果具有显著性差异(P<0.05);就治疗上,运用两种药物的临床疗效无显著差异(P>0.05)。结论:恙虫病临床误诊率漏诊率较高,相关医师应提升专业素养,对患者进行全面体检,以免误诊而延误治疗。

Objective： To summarize and analyze the diagnosis and treatment of tsutsugamushi disease.Methods：Selected in our hospital in Sept. 2012 and 2013 Dec. diagnosis and treatment of 32 cases of scrub typhus patients, the first statistics of all patients with newly diagnosed and hospitalized 3 days alter diagnosis results, then randomly divided into two groups, one group of patients taking azithromycin treatment, the other group adopts traditional tetracycline treatment, compared two groups of patients cured condition. Results：After the first visit the lnisdiagnosis rate was 53.13%, the rate of misdiagnosis was 34.38%, after 3 days in the hospital the misdiagnosis rate was 9.37%, the misdiagnosis rate is 6.25%, compare the results with significant difference（P〈0.05） treatment, using the clinical curative effect of two kinds of drugs is not a significant difference（P〉0.05）.Conelusion：Tsutsugamushi disease the rate of clinical misdiagnosis misdiagnosis rate is high, the related physicians should enhance professionalism, to conduct a comprehensive cxamination of patients, in order to avoid misdiagnosis and delayed treatment.