回顾分析流行性出血热的临床特征改进疾病防控策略

RETROSPECTIVE ANALYSIS OF CLINICAL FEATURES OF EPIDEMIC HEMORRHAGIC FEVER AND IMPROVEMENT OF DISEASE PREVENTION AND COITROP STRSTEGIES

目的:回顾分析内蒙古医科大学附属医院关于流行性出血热这一乙类传染病的临床特征及基本信息,确定该病在本地区的多发季节及发病特征和收治特点,从而为流行性出血热在本地区的前期诊断及该病的预防控制提供参考依据。方法:应用内蒙古医科大学附属医院科研数据大平台,经伦理审查通过,对该中心2009-12月~2018-12期间确诊为流行性出血热40份病例,设计统一的调查表,对住院确诊的布病患者采集以下资料:民族,性别,年龄,职业,婚姻状态,首发症状,诊治科室,付费方式等病历资料进行收集统计与分析,并对其临床发病特点及收治情况进行分析研究。结果:该40例流行性出血热患者在全院6个科室均有初诊收治记录,主要首发症状为发热乏力(35人,占87.5%),恶心呕吐(7人,占17.5%),头痛腰痛(7人,占17.5%),符合流行性出血热发病主要症状“三痛三红”;这些患者中入住感染科最多,达23人(占57.5%),血液科(共9人,占22.5%)和肾内科(共5人,占12.5%)次之,其余患者在消化内科,急诊外科和神经内科等科室均有收治记录。平均住院日14.3d。结论:近年来内蒙地区三甲医院中收治流行性出血热疾病发病率在不断上升,年龄,性别、职业是本中心流行出血热的独立危险因素。

Objective: To retrospective analysis of Inner Mongolia medical university affiliated hospital of the b class infectious diseases epidemic haemorrhage heats up the clinical characteristics and basic information, determine the disease in the region of the season and disease characteristics, and the characteristics of the treated, for early diagnosis of epidemic hemorrhagic fever in the region and provide reference for the prevention and control of the disease.Methods: Application of Inner Mongolia medical university affiliated hospital scientific research data platform, approved by the ethical review, on the center during January 2010 - December 2018, 40 cases diagnosed with epidemic hemorrhagic fever, design unified questionnaires of hospitalized patients with diagnosis of infectious diseases epidemic haemorrhage heats to collect the following information: nationality, gender, age, occupation, marital status, the first symptom, clinical departments, medical record data, such as the payment method to collect statistics and analysis, and analyze the clinical characteristics and treating disease status. Results: Among the 40 patients with epidemic haemorrhagic fever, the average age of the patients was (50.14 1.89) years old, the minimum age was 25 years old, and the maximum age was 69 years old.It was male: female =2.63:1. The patients aged between 40 and 60 years old had a high incidence, accounting for 22 people, accounting for 55% of the total number of patients, and there was a significant difference between the patients aged between 20 and 40 years old and the patients aged between The 40 patients with epidemic haemorrhagic fever were admitted to 6 departments of the hospital for the first time. The main initial symptoms were fever and fatigue (35 patients, accounting for 87.5%), nausea and vomiting (7 patients, accounting for 17.5%), headache and low back pain (7 patients, accounting for 17.5%).Among these patients, 23 (57.5%) were admitted to the infection department, followed by 9 (22.5%) hematology department, 5 (12.5%) nephrology department, and other departments including gastroenterology, emergency surgery and neurology.The average length of stay was 14.3 days.Conclusion: In recent years in the Inner Mongolia region 3 armour hospital epidemic hemorrhagic fever disease incidence were rising. Age, sex and occupation were independent risk factors for haemorrhagic fever .