中小学校内流感暴发特征、学生心理应激反应及其防控

Characteristics of Influenza Outbreak in Primary and Secondary Schools,Psychological Stress Response of Students and its Prevention and Control

目的探究中小学校内流感暴发特征、学生心理应激反应及其防控。方法回顾性选取2016年~2018年某地区患流感中小学学生200例作为观察组,另选在校的健康学生160例作为对照组,调查统计所有学生流感发生情况及心理应激反应,探讨有效的预防措施。结果在200例流感暴发患者中,由甲型H1N1病毒引起有68例(34%),由甲型H3N2病毒引起有84例(42%),由乙型Yamagata系病毒引起有48例(24%);主要临床症状有:65例发热,51例咳嗽,42例喉咙肿痛,20例流鼻涕,14例呕吐和8例腹泻,各组患者比例差异有统计学意义(P<0.05);观察组患者SCL-90评分明显高于对照组,差异有统计学意义(P<0.05)。结论中小学属于流感暴发的高发场所,该病常引起发热、咳嗽等明显症状,且会造成一定程度的焦虑和恐慌等不良情绪,应及时做好流感监测并采用有效防控措施。

Objective To explore the characteristics of influenza outbreak in primary and secondary schools, students’ psychological stress response and its prevention and control.Methods 200 primary and secondary school students with influenza from2016 to 2018 were selected retrospectively as observation group,and 160 healthy students were selected as control group. The occurrence of influenza and psychological stress reaction of all students were investigated and counted, and effective preventive measures were explored.Results Among 200 cases of influenza outbreak, 68 cases(34%) were caused by A H1N1 virus, 84 cases(42%) by A H3N2 virus and 48 cases(24%) by B Yamagata virus. The main clinical symptoms were:65 cases of fever,51 cases of cough,42 cases of sore throat,20 cases of runny nose,14 cases of vomiting and 8 cases of diarrhea. The SCL-90 score in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Primary and secondary schools are high incidence places of influenza outbreak. The disease often causes fever, cough and other obvious symptoms,and can cause a certain degree of anxiety and panic and other adverse emotions. It is necessary to do a good job of influenza surveillance in time and take effective preventive and control measures.