登革热流行风险及患者心理精神状况观察

Observation on epidemic risk of dengue fever and psychological and mental status of patients

目的观察登革热流行风险及患者心理精神状况。方法选取我院2018年9月~2020年9月登革热患者70例为登革热组,另选健康且居住地区无登革热暴发史的70名志愿者为对照组。观察两组症状自评量表(SCL-90)、汉密尔顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分差异,收集两组地理环境类型、白伊蚊幼虫密度、防蚊设施使用率(高:≥76,低:<76)、输入性登革热病例、往返东南亚地区的流动人口各项信息,将有差异的单因素信息纳入Logistic模型,行量化赋值,明确登革热流行的危险因素。结果登革热组SCL-90、HAMA及HAMD评分均显著高于对照组(P<0.05)。登革热组居住山区、白伊蚊幼虫密度高、有输入性登革热病例、有往返东南亚地区的流动人口人数显著高于对照组(P<0.05)。经多因素Logistic回归分析证实,居住山区、白伊蚊幼虫密度高、有输入性登革热病例、有往返东南亚地区的流动人口是登革热流行的危险因素,均P<0.05。结论居住山区、白伊蚊幼虫密度高、有输入性登革热病例、有往返东南亚地区的流动人口是登革热流行的危险因素,登革热患者心理精神状态较健康且居住地区无登革热暴发史人群明显要差。

Objective To observe the prevalence risk of dengue fever and mental state of patients.Methods 70 dengue patients were selected as dengue group from September 2018 to September 2020 in our hospital, and 70 healthy volunteers who had no dengue outbreak history in residential areas were selected as control group. The differences of Symptom Checklist 90(SCL-90), Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) were observed in the two groups. The geographical environment types, larva density of aedes albopictus, mosquito control facility utilization rate(≥ 76 set as high, < 76 set as low), input dengue fever cases, and the information of floating population from Southeast Asia would be included in logistic model with different single factor information, and quantitative evaluation was made to clarify the risk factors of dengue fever.Results SCL-90, HAMA and HAMD scores in dengue fever group were significantly higher than those in the control group(P<0.05). The proportion of floating population living in mountainous area, high larva density of aedes albopictus, imported dengue fever cases and the floating population from Southeast Asia in dengue fever group was significantly higher than that in the control group(P<0.05). The results of logistic regression analysis showed that living in mountainous area, the high larva density of aedes albopictus, the cases of imported dengue fever and the floating population from Southeast Asia were all the risk factors of dengue fever, all of which were P<0.05.Conclusion The risk factors of dengue fever are living in mountainous area, high larva density of aedes albopictushigh density of larvae, imported dengue fever cases and floating population from Southeast Asia. The mental state of dengue fever patients is more healthy and the population without dengue outbreak history in residential areas is significantly worse.