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CLINICAL REPORT ON 142 CASES (278 EYES) OF AFRICAN EPIDEMIC HEMORRHAGIC CONJUNCTIVITIS TREATED WITH ACUPUNCTURE
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《World Journal of Acupuncture-Moxibustion》 1994年第2期19-23,共5页
This paper introduces the curative effects on 142 cases (278 eyes) of African epi-demic hemorrhagic conjunctivitis treated by acupuncture, and 128 (90. 1%) cases (250 eyes) of allpatients have been improved. Three gro... This paper introduces the curative effects on 142 cases (278 eyes) of African epi-demic hemorrhagic conjunctivitis treated by acupuncture, and 128 (90. 1%) cases (250 eyes) of allpatients have been improved. Three groups were clinically observed in the present report. There were55 cases (104 eyes) in the first group for body acupuncture, of which 46 (83. 6%) cases were effec-tively treated; In the second group for auricular acupuncture, 34 (91. 6% ) cases (68 eyes) out of 37cases (74 eyes) were improved; There were 50 cases (100 eyes) in the third group for boyauricular-acupuncture, among which 48 (96. 0%) cases (96 eyes) were improved. The curative effects of thethird group were better than those of the other two groups. 展开更多
关键词 epidemic hemorrhagic CONJUNCTIVITIS Body ACUPUNCTURE THERAPY AURICULAR ACUPUNCTURE THERAPY
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Lipofuscin in brains of patients and mice with epidemic hemorrhagic fever
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作者 刘彦仿 晏培松 杨守京 《Journal of Medical Colleges of PLA(China)》 CAS 1993年第2期188-191,共4页
We have previously shown that the lipofuscin in the brain seems to have in-creased in amount in autopsy cases of epidemic hemorrhagic fever.The purpose of thisstudy was to testify if there is really such an increase.L... We have previously shown that the lipofuscin in the brain seems to have in-creased in amount in autopsy cases of epidemic hemorrhagic fever.The purpose of thisstudy was to testify if there is really such an increase.Lipfuscin in 10 sections from everybrain of 10 autopsy cases,stained with Sudan Ⅳ,Sudan black and H.E.,was carefully es-timated and found to be greatly increased as compared with the controls of the same agewithout brain disease.Animal experiment was also conducted on 15 sucking BALB/c miceby I.P.inoculation of 100 LD<sub>50</sub>(0.05ml)of strain Chen of hemorrhagic fever virus,andon 15 mice without inoculation as controls.No lipofuscin was detected in the controls.However,in the brains of experimental mice,lipofuscin was found to be markedly in-creased,especially in the necrotic cells.The findings suggest that the over-productionand deposition of lipofuscin may be a mild change caused by the virus and its related fac-tors,which might be enhanced by hypotension and shock. 展开更多
关键词 hemorrhagic fever epidemic brain lipofusein pathology mice inbred BABL/c
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Pathological changes and viral antigen distribution in the lymphatic tissue of Patients with epidemic hemorrhagic fever
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作者 刘彦仿 杨守京 +2 位作者 黄高昇 晏培松 徐志凯 《Journal of Medical Colleges of PLA(China)》 CAS 1994年第1期69-71,共3页
Pathological changes and viral antigen distribution in the lymphatic tissue of Patients with epidemic hemorr... Pathological changes and viral antigen distribution in the lymphatic tissue of Patients with epidemic hemorrhagic feverLiuYan... 展开更多
关键词 epidemic hemorrhagic FEVER lymphoid TISSUE antigens immunohistochemistry PATHOLOGICAL CHANGES patients
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Abnormalities of Cellular Immunoregulation in Patients with Epidemic Hemorrhagic Fever
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作者 陈龙邦 杨为松 +3 位作者 徐海峰 张文彬 朱平 尚高峰 《Journal of Medical Colleges of PLA(China)》 CAS 1990年第2期106-112,共7页
In this report,a comparative study is made of the function test of spontaneousT suppressor cell(STs)and T Lymphocyte subsets in patients with epidemic hemorrha-gic fever(EHF).It was found that in the early stages ... In this report,a comparative study is made of the function test of spontaneousT suppressor cell(STs)and T Lymphocyte subsets in patients with epidemic hemorrha-gic fever(EHF).It was found that in the early stages of the disease the activity of STs wasmarkedly lower than that of the controls,while the percentage of CD<sub>?</sub><sup>+</sup> cells increasedsignificantly,which led to the decrease and reciprocation of CD<sub>4</sub>/CD<sub>8</sub> ratio,and that theactivity of STs was reversely related to the proportion of CD<sub>8</sub><sup>+</sup> cells on linear regressionanalysis,indicating that the CD<sub>8</sub><sup>+</sup> cells increased may mainly belong to cytotoxic T cells.It was also shown that the changes of STs function and CD<sub>4</sub>/CD<sub>8</sub> ratio were related tothe abnormalities of serum C<sub>3</sub> content and circulating immune complex.The results sug-gest that the disturbance of host cellular immunoregulation may play an important rolein the pathogenesis of EHF. 展开更多
关键词 hemorrhagic fever epidemic immunity cellular T LYMPHOCYTES SUPPRESSOR cells T lymphocytcs cytotoxic antibodies monoclonal
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Study on Biologic Activity for Membrane of Normal Bone Marrow Cells with Infection of Epidemic Hemorrhagic Fever Virus
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作者 张建傲 曾令兰 +4 位作者 罗端德 蔡淑清 刘薇 杨渝珍 郭劲松 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2000年第4期322-323,共2页
Using DPH fluorescence probe, the membrane of normal bone marrow cells with infection of epidemic hemorrhagic fever virus (EHFV) was labeled. The membrane lipid fluidity was obviously decreased from the membrane lip... Using DPH fluorescence probe, the membrane of normal bone marrow cells with infection of epidemic hemorrhagic fever virus (EHFV) was labeled. The membrane lipid fluidity was obviously decreased from the membrane lipid fluorescence polarization. The membrane lipid fluidity of lympho- cyte, monocyte and neutrophilic granulocyte was dynamically observed. After culturing the cells for 1, 6, 24 and 72 h, it was found that all the membrane lipid fluidity of the infected cells was de- creased obviously with the longer the culturing time, the more obvious it. Compared with the normal control groups, there was a significant difference statistically (P<0. 05-0. 01). It was suggested that the decrease of the membrane lipid fluidity of normal bone marrow cell with infection of EHFV had correlation with the degree of virus invading and cellfunction injury. 展开更多
关键词 epidemic hemorrhagic fever virus bone marrow cell membrane lipid fluidity
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Epidemic Hemorrhagic Fever in Hubei Frovince,The Peoples Repulic of China: A Clinical and Serological Study
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作者 MyronS.Cohenl Jordi Casals +7 位作者 G.D.Hsiung Hsi-enKwei Chien-chingChin Hsin-chenGe Chin-minHsiang PyundW.Lee ClarenceJ.Gibbs D.CarletonGajdusek 《武汉大学学报(医学版)》 CAS 1981年第1期11-27,共17页
Between July 1975 and April 1980, 71 patients were admitted to the 2ndAttached Hospital of Hubei Provincial Medical College in Wuchang withthe diagnosis of Epidemic Hemorrhagic Fever (EHF). The clinical courseamong th... Between July 1975 and April 1980, 71 patients were admitted to the 2ndAttached Hospital of Hubei Provincial Medical College in Wuchang withthe diagnosis of Epidemic Hemorrhagic Fever (EHF). The clinical courseamong these patients was similar to that described for patients with KoreanHemorrhagic Fever, Nephropathica Epidemica of Scandanavia and Hemor-rhagic Fever with Renal Syndrome of the U.S.S.R. The overall mortalitywas 11.2%. Sera obtaincd from some of these patients as well as frompatients admitted to the First Attached Hospital of Hubei Provincial Me-dical College were tested against an antigen associated with Korean He-morrhagic Fever and showed exceedingly high antibody titers. We concludethat EHF in Centfal China represents the same disease process as KoreanHemorrhagic Fever. 展开更多
关键词 In EHF epidemic hemorrhagic Fever in Hubei Frovince The Peoples Repulic of China A Clinical and Serological Study
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STUDIES ON THE ENVIRONMENT STRUCTURE OF NATURAL NIDI AND EPIDEMIC AREAS OF HEMORRHAGIC FEVER WITH RENAL SYNDROME IN CHINA 被引量:2
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作者 陈化新 丘福禧 《Chinese Medical Journal》 SCIE CAS CSCD 1994年第2期29-34,共6页
The environment structure of natural nidi and epidemic areas of hemorrhagic fever with renal syndrome (HFRS) possesses characteristics of topography, hydrology, climate, soil, vegetation, and animals. The natural nidi... The environment structure of natural nidi and epidemic areas of hemorrhagic fever with renal syndrome (HFRS) possesses characteristics of topography, hydrology, climate, soil, vegetation, and animals. The natural nidi and epidemic areas of HFRS are distributed mainly in plain and hilly regions under 500 meters above the sea level; in plentiful-water zones and transitional zones; in temperate zone and subtropical zone of the eastern monsoon region; in the abundant-aluminum soil region and the sial soil region; in the eastern China damp forest region (agricultural districts and northeast forest districts); in the eastern Asia dampness-prefering animal geographic region. Apodemus agrarius and Rattus norvegicus are the thriving animal population, predominant species or common species as well as the main reservoir hosts and sources of infection in the natural nidi and epidemic areas of HFRS. 展开更多
关键词 STUDIES ON THE ENVIRONMENT STRUCTURE OF NATURAL NIDI AND epidemic AREAS OF hemorrhagic FEVER WITH RENAL SYNDROME IN CHINA DH
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Application of Conglutinin-ELISA for the detection of Circulating Immune Complexes in Sera of Patients with Epidemic Hemorrhagic Fever.
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《Chinese Medical Journal》 SCIE CAS CSCD 1994年第7期57-57,共1页
Conglutinin was extracted and purified from bovine’s sera and was used in ELISA for the detection of circulating immune complexes in the sera of patients suffering from epidemic hemorrhagic fever (EHF). The detected ... Conglutinin was extracted and purified from bovine’s sera and was used in ELISA for the detection of circulating immune complexes in the sera of patients suffering from epidemic hemorrhagic fever (EHF). The detected rates of circu- 展开更多
关键词 ELISA EHF Application of Conglutinin-ELISA for the detection of Circulating Immune Complexes in Sera of Patients with epidemic hemorrhagic Fever
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绍派伤寒名家俞根初治疫思想探析
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作者 宋双莹 苏金峰 +3 位作者 李富震 张福利 李文辉 金鑫 《四川中医》 2024年第1期27-30,共4页
俞根初是绍派伤寒奠基人,其所著《通俗伤寒论》论述四时外感疾病,提倡寒温融合,包含治疫思想。俞氏提出“三焦赅疫证”,认为疫病感则迅速传变三焦,治从通调三焦入手。书中内容涉及温疫、寒疫、杂疫,主张舌脉合参预判疫病转归,针对性创... 俞根初是绍派伤寒奠基人,其所著《通俗伤寒论》论述四时外感疾病,提倡寒温融合,包含治疫思想。俞氏提出“三焦赅疫证”,认为疫病感则迅速传变三焦,治从通调三焦入手。书中内容涉及温疫、寒疫、杂疫,主张舌脉合参预判疫病转归,针对性创制新方开达膜原,和解三焦;下法逐毒,通利三焦;寒疫则审时求因,对症立方。同时配合多种外治法以求速功,强调祛邪务尽,善后务细,疫病后期善用鲜药养阴及通风调护。俞氏论治疫病的思想对于现代临床传染病诊治具有指导意义。 展开更多
关键词 俞根初 绍派伤寒 通俗伤寒论 治疫
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采用自配碳酸氢盐置换液行CRRT治疗流行性出血热合并急性肾功能衰竭1例回顾性分析
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作者 黄志鸿 董晓燕 张彦军 《临床医学研究与实践》 2024年第16期50-54,共5页
目的总结1例流行性出血热(EHF)合并急性肾功能衰竭(ARF)患者采用自配碳酸氢盐置换液行连续性肾脏替代治疗(CRRT)的经验,以期为同类病例的治疗提供参考。方法对2021年4月兰州大学第一医院东岗院区综合内科收治的1例EHF合并ARF患者行内科... 目的总结1例流行性出血热(EHF)合并急性肾功能衰竭(ARF)患者采用自配碳酸氢盐置换液行连续性肾脏替代治疗(CRRT)的经验,以期为同类病例的治疗提供参考。方法对2021年4月兰州大学第一医院东岗院区综合内科收治的1例EHF合并ARF患者行内科综合治疗,同时采用自配碳酸氢盐置换液行CRRT,依据动态监测血气分析、电解质、肾功能及凝血指标水平调整自配置换液配方及抗凝剂剂量。结果患者住院治疗14 d出院,出院后30 d复查随访,各项指标均恢复正常。结论在内科综合治疗的同时及时采用自配碳酸氢盐置换液行CRRT是治疗EHF合并ARF的有效方法。 展开更多
关键词 流行性出血热 急性肾功能衰竭 自配碳酸氢盐置换液 连续性肾脏替代治疗
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Acute Hemorrhagic Fever: Clinical, Epidemiological and Laboratory Aspects in São Toméand Príncipe
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作者 Eula Carvalho Didiena Vilhete +7 位作者 Clara Assunção Ana Silva Jessica Vicente Ana Cristina Cleiser Vagente Francelina Costa Celdidy Monteiro Bakissi Pina 《Advances in Infectious Diseases》 CAS 2022年第4期721-744,共24页
Background: In the last 6 months, cases of acute hemorrhagic fever (AHF) have been recorded in Sao Tome and Principe (STP). Objective: To identify the clinical, epidemiological and laboratory parameters associated wit... Background: In the last 6 months, cases of acute hemorrhagic fever (AHF) have been recorded in Sao Tome and Principe (STP). Objective: To identify the clinical, epidemiological and laboratory parameters associated with AHF cases found in patients hospitalized in STP. Methods: Descriptive and quantitative analysis of AHF cases hospitalized in STP in the period December 2021 to May 19, 2022 through the variables: demographic data;clinical data;laboratory data and clinical outcome. Results: Analyzed 18 of 22 AHF cases, 50% of them male, mean age 33.7 years, 85.7% residing in the 2 largest districts of the country, 66.7% rural workers, administrative near maritime areas, sailors and domestics. 66.7% were healthy individuals. ≥50% had a fever, asthenia/weakness, myalgia, headache, lethargy, nausea, vomiting, and diarrhea. 22.2% to 33.3% had retro-orbital pain, abdominal pain, decreased consciousness, dyspnea/hypoxia, and cough. In a smaller register (5.6% - 11.1%), exanthema, convulsion, arthralgia, low back pain, chills, and chest pain. Bleeding from the digestive tract was found in 72.2%, followed by vaginal (33.3%), urethral (27.8%), nasal (22.2%), and oral (16.7%). 50% had laboratory confirmation for dengue, and another 50% with suspected clinical diagnosis without laboratory confirmation of the etiologic agent. Despite hemorrhage, 66.7% of confirmed cases were hemodynamically non-severe, and 88.9% of suspected cases were severe. Coinfection with malaria is evidenced in 11.1% of cases. 72.2% recovered and 27.8% died (deaths in 55.5% of suspected cases). Case deaths were male (100%), resident foreigners (40%), tool store employees, sailors and students, healthy (80%), and residing in the largest district in the country (60%). All deaths were hospitalized in serious condition, 80% were hospitalized for hemorrhage and shock, with bleeding arising between day 4 - 5 of illness in 60% and hospitalization on day 5 of illness. 60% died within ≤24 hours of hospitalization. 80% died from shock and multi-organ dysfunction and 20% from respiratory failure. Deaths had thrombocytopenia (100%), renal dysfunction (100%) and significantly increased transaminases (100%), anemia (75%) and leukocytosis (66.7%). 20% had a radiological change of pulmonary infiltrates. Conclusion: Our data reveal the complexity of the pathogens causing AHF and suggest the possible presence of other human pathogens usually unknown in the Santomean geographical territory. 展开更多
关键词 Acute hemorrhagic Fever Viral hemorrhagic Fever DENGUE São Tomé and Príncipe HOSPITALIZATION epidemic Dr. Ayres de Menezes Hospital
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基于知信行模式的护理在流行性出血热患者中的应用效果
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作者 胡佳 《中国民康医学》 2024年第2期176-178,182,共4页
目的:探讨基于知信行模式的护理在流行性出血热患者中的应用效果。方法:回顾性分析2019年4月至2022年4月该院收治的98例流行性出血热患者的临床资料,根据护理方法不同将其分为对照组和观察组各49例。对照组实施常规护理,观察组实施基于... 目的:探讨基于知信行模式的护理在流行性出血热患者中的应用效果。方法:回顾性分析2019年4月至2022年4月该院收治的98例流行性出血热患者的临床资料,根据护理方法不同将其分为对照组和观察组各49例。对照组实施常规护理,观察组实施基于知信行模式的护理。比较两组护理前后疾病认知情况、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、症状缓解时间、住院时间及护理满意度。结果:护理后,观察组疾病认知量表中发病原因、临床表现、个人防护和注意事项等维度评分均高于对照组,HAMA、HAMD评分均低于对照组,尿蛋白转阴时间、退热时间、血小板恢复正常时间、血压恢复正常时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.92%(47/49),高于对照组的83.67%(41/49),差异有统计学意义(P<0.05)。结论:基于知信行模式的护理用于流行性出血热患者可提高其对疾病认知,缓解不良情绪,缩短症状缓解时间和住院时间,提高患者护理满意度。 展开更多
关键词 流行性出血热 知信行模式 负性情绪 疾病认知 满意度
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流行性出血热患者血清CK-MB、IL-6、IL-10水平与病情程度、预后的关系研究 被引量:1
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作者 饶建锋 李珊 《中国医学创新》 CAS 2023年第27期137-141,共5页
目的:分析流行性出血热(EHF)患者血清肌酸激酶同工酶(CK-MB)、白细胞介素-6(IL-6)及白细胞介素-10(IL-10)水平与病情程度、预后的关系。方法:回顾性选择2019年6月—2022年6月于南昌市第九医院进行治疗的EHF患者60例作为本次研究对象,按... 目的:分析流行性出血热(EHF)患者血清肌酸激酶同工酶(CK-MB)、白细胞介素-6(IL-6)及白细胞介素-10(IL-10)水平与病情程度、预后的关系。方法:回顾性选择2019年6月—2022年6月于南昌市第九医院进行治疗的EHF患者60例作为本次研究对象,按照病情严重程度分为以下三组:轻症组(n=28,轻型、中型患者)、重症组(n=19,重型患者)及危重症组(n=13,危重型患者)。检测其入院后第1、3、7天的CK-MB、IL-6及IL-10水平,分析以上3项实验室检查指标与患者病情严重程度的相关性,并依据90 d预后情况分为存活组与死亡组,分析CK-MB、IL-6、IL-10与EHF患者预后的关系。结果:轻症组入院第1、3、7天血清CK-MB、IL-6、IL-10水平均低于重症组及危重症组(P<0.05),重症组以上指标水平均低于危重症组(P<0.05)。血清CK-MB、IL-6、IL-10水平与病情严重程度成正相关(rs=0.562、0.355、0.301,P<0.05)。60例患者随访90 d发现存活54例,死亡6例,存活组入院后第1、3、7天血清CK-MB、IL-6及IL-10水平均明显低于死亡组(P<0.05);受试者操作特征(ROC)曲线分析显示,入院第1天血清CK-MB、IL-6、IL-10单独及联合检测均对EHF患者预后有预测价值(P<0.05),其中联合检测的预测效能最高,其AUC为0.849,敏感度为98.14%,特异度为59.16%。结论:EHF患者血清CK-MB、IL-6及IL-10水平与病情发展呈正相关,可用于评估病情严重程度及预后,且三者联合时的效能最高。 展开更多
关键词 流行性出血热 肌酸激酶同工酶 白细胞介素-6 白细胞介素-10 预后
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低分子肝素钠对流行性出血热急性肾衰竭患者临床疗效及肾功能的影响 被引量:1
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作者 张艳 蔡炳冈 《临床医学研究与实践》 2023年第16期34-37,共4页
目的探讨低分子肝素钠对流行性出血热急性肾衰竭患者临床疗效及肾功能的影响。方法选取2016年5月至2021年5月于本院接受治疗的120例流行性出血热急性肾衰竭患者作为研究对象,根据随机数字表法将其分为对照组与观察组,每组60例。对照组... 目的探讨低分子肝素钠对流行性出血热急性肾衰竭患者临床疗效及肾功能的影响。方法选取2016年5月至2021年5月于本院接受治疗的120例流行性出血热急性肾衰竭患者作为研究对象,根据随机数字表法将其分为对照组与观察组,每组60例。对照组使用肝素钠注射液治疗,观察组使用低分子肝素钠注射液治疗。比较两组的治疗效果。结果观察组的少尿期、住院时间短于对照组(P<0.05)。治疗后,两组的血尿素氮(BUN)、肌酐(Cr)水平明显降低,且观察组低于对照组(P<0.05)。治疗后,两组的血钙水平明显升高,血磷、甲状旁腺激素(PTH)水平明显降低,且观察组优于对照组(P<0.05)。透析4 h时,观察组的活化部分凝血活酶时间(APTT)、凝血酶时间(TT)较透析0 h时明显延长,但较透析2 h时明显缩短(P<0.05);透析2、4 h时,对照组的APTT、TT较透析0 h时明显延长(P<0.05);透析2、4 h时,观察组的APTT、TT明显短于对照组(P<0.05)。观察组的血液透析器堵管、心力衰竭、休克发生率低于对照组(P<0.05)。结论低分子肝素钠可提高流行性出血热急性肾衰竭患者的临床效果,缩短少尿期、住院时间,改善肾功能,减少并发症的发生。 展开更多
关键词 低分子肝素钠 流行性出血热 急性肾衰竭 肾功能
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阜阳市肾综合征出血热流行趋势及宿主动物监测分析
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作者 李淮彪 孙良 +4 位作者 丰硕 孙乾坤 田亚珍 蒋弢 侯银续 《中华卫生杀虫药械》 CAS 2023年第4期289-294,共6页
目的分析2011—2022年阜阳市出血热流行特征趋势和2021年和2022年宿主动物监测结果,为科学精准开展出血热防控提供科学依据。方法出血热病例数据来自中国疾病预防控制中心传染病报告管理系统,宿主监测数据来自现场调查,对资料进行描述... 目的分析2011—2022年阜阳市出血热流行特征趋势和2021年和2022年宿主动物监测结果,为科学精准开展出血热防控提供科学依据。方法出血热病例数据来自中国疾病预防控制中心传染病报告管理系统,宿主监测数据来自现场调查,对资料进行描述性分析。结果2011—2022年阜阳市共报告出血热病例218例,年平均发病率为0.18/10万,发病时间以11月最高,病例数男女性别比为2.76∶1,职业以农民为主,年龄以50~59岁组发病率最高,地区以颍东区发病率最高。宿主动物监测鼠形动物捕获率为2.37%,以褐家鼠(49.62%)和黑线姬鼠(35.19%)为主,监测生境中农村居民区鼠形动物捕获率最高(3.85%),室内鼠形动物捕获率高于室外,3—9月鼠形动物捕获率相对较高,病原学监测中检出8份汉坦病毒阳性,阳性率为2.67%,阳性标本均为黑线姬鼠。结论阜阳市出血热疫情呈散发状态,应加强疫情监测和鼠类防治工作。 展开更多
关键词 肾综合征出血热 流行趋势 宿主动物 监测
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2005-2021年中国流行性出血热的流行趋势分析
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作者 苏永健 梁金良 +3 位作者 张家玮 赵文文 戴诗燕 李海 《中华卫生杀虫药械》 CAS 2023年第6期531-538,共8页
目的探讨2005-2021年中国流行性出血热(EHF)发病率的长期趋势,为完善EHF的防控措施提供参考依据.方法建立2005-2021年中国EHF发病率数据集.采用Joinpoint回归模型分析全国及各地区、各年龄段EHF发病率变化趋势.结果2005-2021年中国共报... 目的探讨2005-2021年中国流行性出血热(EHF)发病率的长期趋势,为完善EHF的防控措施提供参考依据.方法建立2005-2021年中国EHF发病率数据集.采用Joinpoint回归模型分析全国及各地区、各年龄段EHF发病率变化趋势.结果2005-2021年中国共报告EHF病例192066例,年均发病率为0.8345/10万;死亡1752例,年均死亡率为0.0076/10万,年均病死率为0.9122%.2005-2021年中国出血热发病率总体呈下降趋势,平均年度变化百分比(AAPC)为-5.56%(P=0.017),其中2008年和2012年为出血热发病率趋势变化转折点,2005-2008年间呈下降趋势,年度变化百分比(APC)为-26.92%(P=0.001);2008-2012年呈平稳趋势,APC为10.61%(P=0.224);2012-2021年呈下降趋势,APC为-4.11%(P=0.016).2005-2018年中国报告的出血热病例主要集中在东北部地区,病例数排名前5位(降序)的地区为黑龙江省、陕西省、山东省、辽宁省和吉林省.9个地区的出血热发病率呈下降趋势(均P<0.05),4个地区的出血热发病率呈上升趋势(均P<0.05),其余14个地区出血热发病率呈平稳趋势(均P>0.05);各年龄组均有病例发生,主要集中在25~64岁,占总发病数的79.86%;其中40~44岁年龄组比例最高,占12.75%.7个年龄组的出血热发病率均呈下降趋势(均P<0.05),1~岁组呈上升趋势(P<0.05),其余各年龄组处于平稳状态(均P>0.05).结论2005-2021年中国出血热发病率总体呈下降趋势,但黑龙江省、陕西省、山东省、辽宁省和吉林省等重点地区发病率仍在较高水平,下降幅度较小,流行风险仍存在.应针对重点地区与群体加强防治工作,持续开展病例与当地宿主动物监测;根据当地实际情况制定并落实精准综合防控措施,以降低出血热流行强度、发病率和死亡率. 展开更多
关键词 流行性出血热 发病率 流行趋势 Joinpoint回归模型
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基于微流控芯片技术的五种啮齿类动物疫病检测方法的建立 被引量:1
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作者 薛俊欣 熊炜 +4 位作者 张秋蕾 林颖峥 王巧全 蒋静 李健 《中国动物传染病学报》 CAS 北大核心 2023年第1期78-85,共8页
为提升啮齿类实验动物的检疫效率,本研究拟建立鼠痘病毒、流行性出血热病毒、淋巴细胞性脉络丛脑膜炎病毒、仙台病毒和鼠肝炎病毒联检的微流控芯片方法并进行评价。针对5种病毒基因保守序列设计特异性LAMP引物,将引物包埋于芯片反应槽内... 为提升啮齿类实验动物的检疫效率,本研究拟建立鼠痘病毒、流行性出血热病毒、淋巴细胞性脉络丛脑膜炎病毒、仙台病毒和鼠肝炎病毒联检的微流控芯片方法并进行评价。针对5种病毒基因保守序列设计特异性LAMP引物,将引物包埋于芯片反应槽内,通过检测5种啮齿类动物病毒和另外3种病毒的样本来分析本方法的特异性,通过检测不同浓度的模板来评价本方法的灵敏度和重复性,通过检测35份小鼠的临床阳性样本和30份健康小鼠的肝组织样本来评价本方法的临床应用效果。结果表明,本研究建立的微流控芯片方法特异性好、灵敏度高、重复性佳,各指标间无相互干扰。本方法可提高啮齿类实验动物的检疫效率。 展开更多
关键词 鼠痘病毒 流行性出血热病毒 淋巴细胞性脉络丛脑膜炎病毒 仙台病毒 鼠肝炎病毒 微流控芯片
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灌云县2015-2021年出血热流行特征及鼠带毒率监测分析
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作者 陈萍 陆荣鑫 赵芹 《中国卫生产业》 2023年第5期195-198,共4页
目的掌握灌云县近几年出血热流行特征及鼠密度和鼠带毒情况,为制订出血热防控措施提供科学依据。方法从“传染病信息报告管理系统”收集灌云县2015年1月—2021年12月出血热病例190例,运用描述性流行病学方法分析其人群、时间、地区的“... 目的掌握灌云县近几年出血热流行特征及鼠密度和鼠带毒情况,为制订出血热防控措施提供科学依据。方法从“传染病信息报告管理系统”收集灌云县2015年1月—2021年12月出血热病例190例,运用描述性流行病学方法分析其人群、时间、地区的“三间分布”。用夹夜法捕鼠,用PCR法检测鼠肺出血热病毒抗原,计算鼠带毒率。结果2015年1月—2021年12月报告190例出血热确诊病例,年均发病率为2.62/10万,病死率达5.26%(10/190)。男性年均发病率为3.63/10万,女性发病率为1.49/10万,男女发病率比2.44∶1,男性高于女性,差异有统计学意义(χ^(2)=31.805,P<0.001)。发病最小年龄为11岁,最大年龄为80岁,主要集中于40岁以上中老年人,占全部病例的81.05%(154/190)。职业分布中以农民工最多,占90.00%(171/190)。每月均有病例发生,10月至次年1月报告的病例数占全年病例的78.95%(150/190)。除燕尾港镇外,其他14个镇、街、农盐场均有出血热病例报告。发病数居前5位的依次为南岗镇、杨集镇、龙苴镇、小伊镇和下车镇,占全县病例的67.37%(128/190)。鼠带毒率为1.92%(3/156),较2018年检测结果(3.11%)有所下降。结论灌云县出血热疫情总体呈下降趋势,鼠带毒率也有所下降,出血热疫情防控取得明显成效,但仍要继续坚持环境整治、防鼠灭鼠和重点镇街、重点人群出血热疫苗接种工作,巩固防控成果。 展开更多
关键词 流行性出血热 流行特征 鼠带毒率 监测
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试论肾综合症出血热病毒的生态问题
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作者 向近敏 《中国微生态学杂志》 CAS CSCD 1991年第2期69-73,共5页
肾综合症出血热(hemorrhagic fever with renal syndrome,HFRS),在我国称为流行性出血热(epidemic hemorrhagic fever,EHF)。过去很长时间,在世界上未得到统一的认识。出现于医学文献中的英文名称达38个。出现于近20个国家不同文字的不... 肾综合症出血热(hemorrhagic fever with renal syndrome,HFRS),在我国称为流行性出血热(epidemic hemorrhagic fever,EHF)。过去很长时间,在世界上未得到统一的认识。出现于医学文献中的英文名称达38个。出现于近20个国家不同文字的不同名称,在150个以上。这是不足为奇的。因为发病地点不同,症状轻重不一,病因又不了解。 展开更多
关键词 肾综合症出血热 hemorrhagic 发病地点 epidemic 家鼠型 病毒体 宿主因素 滴度 型特异性 仓鼠亚科
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流行性出血热病毒L99株(家鼠型)与国内外其它毒株抗原性的比较 被引量:11
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作者 郝富勇 王晓宏 +5 位作者 回良杰 黄永成 黄雪芬 李德新 杭长寿 宋干 《中国生物制品学杂志》 CAS CSCD 1995年第1期4-8,共5页
流行性出血热家鼠型(Ⅱ型)病毒L99株分别在小白鼠脑腔和金黄地鼠肾细胞传代适应,再初步纯化,所选出的毒株具有广谱抗原性和较高的毒力滴度。应用鼠脑或细胞毒种感染金黄地鼠肾细胞制成灭活疫苗免疫动物,检测血清中和抗体反应及对... 流行性出血热家鼠型(Ⅱ型)病毒L99株分别在小白鼠脑腔和金黄地鼠肾细胞传代适应,再初步纯化,所选出的毒株具有广谱抗原性和较高的毒力滴度。应用鼠脑或细胞毒种感染金黄地鼠肾细胞制成灭活疫苗免疫动物,检测血清中和抗体反应及对野鼠型(Ⅰ型)和家鼠型(Ⅱ型)强毒攻击的保护力,均证明L99疫苗有双向的免疫效果。L99活毒免疫动物血清与不同来源的Ⅰ、Ⅱ型病毒交叉中和反应亦证明L99株对两型病毒有明显的交叉反应,表明L99株病毒对两型病毒具有双向抗原性。 展开更多
关键词 流行性出血热 病毒 抗原性 疫苗
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