襄阳市新型冠状病毒肺炎疫情期间发热门诊症状监测系统数据分析

Analysis of the monitoring data of fever clinic symptoms during the pandemic of new coronavirus pneumonia in Xiangyang City

目的通过分析“全市发热门诊就诊人员症状监测系统”在疫情期间的监测数据,为政府下一步开展新冠病毒肺炎防控工作提供科学依据。方法导出2020年2月11日至3月16日“全市发热门诊就诊人员症状监测系统”数据,并结合利用其发现的确诊病例进行统计分析。结果共监测发热门诊就诊患者28296人,发现确诊病例38例;经趋势卡方检验,发热门诊就诊率(Z=629.11,P=0.000<0.005)从第2周开始逐渐下降;不同地区发热门诊就诊率(χ2=2819.54,P=0.000<0.05)与确诊率(χ2=7.80,P=0.005<0.05)差异提示,市区确诊率较高,县区就诊率较高;不同年龄段发热门诊就诊率(Z=2261.99,P=0.000<0.008)与确诊率(Z=10.69,P=0.001<0.008)提示,就诊率随年龄增加而降低,确诊率随年龄增加而增加。结论襄阳市新型冠状病毒疫情防控效果显著,但下一步仍应加强对重点地区(市区)与重点年龄段(儿童青少年)发热门诊就诊人员的筛查力度。

Objective To analyze the monitoring data of the fever clinic during the epidemic period of COVID-19 in Xiangyang City,and to provide a scientific basis for the government to carry out the prevention and control of new coronavirus pneumonia in the next step.Methods Monitoring data from the"Symptom Monitoring System of Fever Outpatients in Xiangyang City"from February 11,2020 to March 16,2020 was obtained.The data combined with the confirmed cases was statistically analyzed.Results A total of 28296 outpatients with fever were monitored and 38 confirmed cases were found.According to trend chi square test,the visit rate of the fever clinic(Z=629.11,P=0.000<0.005)decreased gradually from the second week.The analysis of the rate of the fever clinic visits(χ2=2819.54,P=0.000<0.05)and the rate of confirmed cases in different areas(χ2=7.80,P=0.005<0.05)indicated that the diagnostic confirmation rate in the urban area was higher,while the rate of visits in counties was higher.The rate of visits to fever clinics(Z=2261.99,P=0.000<0.008)and the rate of diagnostic confirmation(Z=10.69,P=0.001<0.008)in different age groups showed that the visit rate decreased with the increase of age,while the diagnostic confirmation rate increased with the increase of age.Conclusion The prevention and control of the new coronavirus in Xiangyang City had been effective.It is important to strengthen the screening of patients in fever clinics in key areas(urban areas)and key age groups(children and adolescents)in the next step.