国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2010年
2期
81-83
,共3页
龚学红%王毅%张小林%索朗卓玛
龔學紅%王毅%張小林%索朗卓瑪
공학홍%왕의%장소림%색랑탁마
流感病毒A型,H1N1亚型%流行病学%临床分析
流感病毒A型,H1N1亞型%流行病學%臨床分析
류감병독A형,H1N1아형%류행병학%림상분석
Influenza A virus,H1N1 subtype%Epidemiology%Clinical analysis
目的 探讨2009年拉萨甲型H1N1流感的流行病学特征及临床特点.方法 对2009年9-12月我院收治的190例甲型H1N1流感确诊病例的流行病学、临床表现及实验室检查等资料进行回顾性分析.结果本次拉萨地区暴发的甲型H1N1流感主要发生在秋冬季,9、10月为高峰.190例病例中,男性106例(55.79%),女性84例(44.21%),患者的平均年龄(16.66±9.78)岁,以7～17岁为主,学生139例(73.16%),藏族144例(75.79%).临床表现以发热、咳嗽、咽痛、咽充血和扁桃体肿大为主,172例有发热(90.53%).所有病例均未接种过甲型H1N1流感疫苗,入院时甲型H1N1流感病毒核酸检测均为阳性,176例(92.63%)病毒快速检测阳性.174例(91.58%)使用利巴韦林等抗病毒治疗取得较好疗效,184例痊愈出院,无死亡病例.结论 本组患者均为易感人群,因此流行期间接种甲型流感疫苗,提高人群免疫力势在必行.
目的 探討2009年拉薩甲型H1N1流感的流行病學特徵及臨床特點.方法 對2009年9-12月我院收治的190例甲型H1N1流感確診病例的流行病學、臨床錶現及實驗室檢查等資料進行迴顧性分析.結果本次拉薩地區暴髮的甲型H1N1流感主要髮生在鞦鼕季,9、10月為高峰.190例病例中,男性106例(55.79%),女性84例(44.21%),患者的平均年齡(16.66±9.78)歲,以7～17歲為主,學生139例(73.16%),藏族144例(75.79%).臨床錶現以髮熱、咳嗽、嚥痛、嚥充血和扁桃體腫大為主,172例有髮熱(90.53%).所有病例均未接種過甲型H1N1流感疫苗,入院時甲型H1N1流感病毒覈痠檢測均為暘性,176例(92.63%)病毒快速檢測暘性.174例(91.58%)使用利巴韋林等抗病毒治療取得較好療效,184例痊愈齣院,無死亡病例.結論 本組患者均為易感人群,因此流行期間接種甲型流感疫苗,提高人群免疫力勢在必行.
목적 탐토2009년랍살갑형H1N1류감적류행병학특정급림상특점.방법 대2009년9-12월아원수치적190례갑형H1N1류감학진병례적류행병학、림상표현급실험실검사등자료진행회고성분석.결과본차랍살지구폭발적갑형H1N1류감주요발생재추동계,9、10월위고봉.190례병례중,남성106례(55.79%),녀성84례(44.21%),환자적평균년령(16.66±9.78)세,이7～17세위주,학생139례(73.16%),장족144례(75.79%).림상표현이발열、해수、인통、인충혈화편도체종대위주,172례유발열(90.53%).소유병례균미접충과갑형H1N1류감역묘,입원시갑형H1N1류감병독핵산검측균위양성,176례(92.63%)병독쾌속검측양성.174례(91.58%)사용리파위림등항병독치료취득교호료효,184례전유출원,무사망병례.결론 본조환자균위역감인군,인차류행기간접충갑형류감역묘,제고인군면역력세재필행.
Objective To investigate the epidemiological and clinical features of 190 A(H1N1)influenza cases in 2009 Lhasa.Methods 1he clinical data of 190 hospitalized cases with A(H1N1)influenza in our hospital from September to December 2009 were collected and retrospectively analyzed in epidemiology,clinical features and laboratory test.Results This outbreak of A(H1N1)influenza in Lhasa occurred during autumn and winter with the peak period in September and October.Of the 190 cases,there were 106(55.79%)males,84(44.21%)females.The average age was(16.66±9.78)years old,most of the cases were 7-17 years old.139(73.16%)cases were students.144(75.79%)cases were Tibetan people.The main clinical manifestations were fever,cough,pharyngalgia,pharyngitis,tonsillitis,and172(90.53%)cases had fever.No vaccination was implemented in all the patients before,all of them were positive for the A(H1N1)influenza virus nucleic acid testing on admission,176(92.63%)cases were positive for rapid detection of A influenza virus,174(91.58%)cases accepted ribavirin and other anti-viral therapy to achieve better effect.184 cases were recovery,and there were no death cases.Conclusions The patients in this group are non-immune population,so it is imperative to vaccinate people during influenza pandemic.
