廣州軍隊醫(yī)院SARS病例流行病學特點分析
發(fā)布時間:2018-04-19 22:18
本文選題:嚴重急性呼吸綜合征(SARS) + 流行病學; 參考:《中國公共衛(wèi)生》2004年10期
【摘要】:目的 分析廣州市軍隊醫(yī)院收治的SARS病例的臨床流行病學特點 ,為防治對策和措施提供科學依據(jù)。方法 采用查閱病歷、面對面訪談、電話調(diào)查及現(xiàn)場調(diào)查相結(jié)合的方法 ,收集SARS病例流行病學和臨床診治資料 ,利用SPSS軟件 10 0分析SARS病例分布特點和恢復期血清IgG抗體情況。 結(jié)果 14 7例SARS臨床診斷病例中 ,10 9例分布于廣州市各個轄區(qū) ,有 38例來自外地 ;發(fā)病年齡主要集中在 18~ 4 8歲 ;37例屬于聚集性病例 ,4 9例有明確的接觸史 (33 33% ) ;死亡 7例。檢測 90例恢復期血清特異性IgG抗體 ,陽性 4 6例 ,有同類病例接觸史者血清抗體陽性率為 85 2 9% ,高于無接觸史者的 2 7 6 6 % (P 0 0 0 1)。發(fā)熱時間≥ 7d者血清抗體陽性率為 6 8 89% ,高于發(fā)熱 7d者的 30 95 % (P 0 0 0 1)。結(jié)論 廣州軍隊醫(yī)院收治的SARS病例流行病學特點與廣東省疫情態(tài)勢基本一致 ;流行病學接觸史加血清學結(jié)果有助于病例確診 ;存在未明的傳染來源或傳播方式。
[Abstract]:Objective to analyze the clinical epidemiological characteristics of SARS cases in Guangzhou military Hospital and to provide scientific basis for prevention and treatment. Methods the data of epidemiology, clinical diagnosis and treatment of SARS were collected by means of consulting medical records, face to face interview, telephone survey and field investigation. SPSS software 100 was used to analyze the distribution of SARS cases and the serum IgG antibody in convalescent stage. Results among 147 cases of SARS, 109 cases were located in various districts of Guangzhou, 38 cases were from other places. The age of onset was mainly from 18 to 48 years old in 37 cases of agglomeration, 49 cases had a definite contact history (33 33%), and 7 cases died. The positive rate of serum specific IgG antibody in 90 convalescent patients was 85.29%, which was higher than that in non-contact patients (27.66%, P 0.001). The positive rate of serum antibody in patients with fever 鈮,
本文編號:1774987
本文鏈接:http://sikaile.net/yixuelunwen/yxlw/1774987.html
最近更新
教材專著