乙型脑炎与细菌性脑膜炎临床指征判别对比分析

The Comparative Analysis of Clinical Indication Judgment between Japanese Encephalitis and Bacterial Meningitis

目的:观察分析患者临床指征在乙型脑炎和细菌性脑膜炎的差异,为疾病监测质量的提高提供依据。方法:选取2014年6月—2017年3月在我院就诊的42例乙型脑炎或细菌性脑膜炎患者为研究对象,其中乙型脑炎和细菌性脑膜炎患者分别为20例和22例,观察比较两种疾病患者的临床指征差异,并进行判别分析。结果:抽搐为乙型脑炎的特异性临床特征,细菌性脑膜炎的特异性临床特征主要包括脑脊液葡萄糖含量改变和蛋白升高、脑脊液外观发生变化以及抽搐;对患者进行判别分析,20例乙型脑炎患者和22例细菌性脑膜炎患者预测成功例数分别为17例、15例,预测成功率分别为85.0%、68.2%。结论:对乙型脑炎和细菌性脑膜炎患者进行交互判别分析,准确率均不理想,尤其是细菌性脑膜炎,提示在实际诊断中具有一定漏报的风险。

Objective To observe the difference of the patients' clinical indication between Japanese encephalitis and bacterial meningitis and provide basis for improving the supervision quality of diseases. Methods 42 patients with Japanese encephalitis or bacterial meningitis who were treated in our hospital from June 2014 to March 2017 were chosen as research objects, including 20 patients with Japanese encephalitis and 22 patients with bacterial meningitis. The difference of clinical indication for patients with these two diseases was observed and conducted the judgment analysis. Results Convulsion was the specific clinical feature of Japanese encephalitis, while the specific clinical feature of bacterial meningitis mainly included change of glucose contents in cerebrospinal fluid and increase of proteins, appearance change of cerebrospinal fluid and convulsion. By conducting the judgment analysis on patients, the successful cases of 20 patients with Japanese encephalitis and 22 patients with bacterial meningitis were 17 and 15, respectively. The predicted success rate was 85.0% and 68.2%, respectively. Conclusions By making the interactive judgment analysis on patients with Japanese encephalitis and patients with bacterial meningitis, the accuracy was not ideal, especially for bacterial meningitis, showing that there is a failure risk in practical diagnosis.