中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
22期
26-28
,共3页
流感,人%监测%抗生素%临床特征
流感,人%鑑測%抗生素%臨床特徵
류감,인%감측%항생소%림상특정
Influenza-like illness%Monitoring%Antibiotics%Clinical features
目的 分析研究流感样病例的监测结果及其临床特征.方法 对2009年1月7-14日350例流感样病例进行快速病毒学检测.同时对临床特征进行分析,按是否应用抗生素分为抗生素组146例,未用抗生素组204例.对两组临床资料进行统计学比较.结果 350例流感样病例年龄在20～29岁多于其他各年龄段(P<0.05);抗生素组咳嗽、咽痛、全身酸痛、腹泻的发生率及血白细胞计数、中性粒细胞比例与未用抗生素组比较差异有统计学意义(P<0.05).而体温恢复正常时间抗生素组为(2.5±1.5)d,未用抗生素组为(2.4±1.9)d,两组比较差异无统计学意义(P>0.05).结论 应重视建立完善的流感监测预警系统,系统收集、分析流感样病例的发生频率及流行病学特征、临床表现,随诊、有的放矢进行生物学监测、合理应用抗生素.
目的 分析研究流感樣病例的鑑測結果及其臨床特徵.方法 對2009年1月7-14日350例流感樣病例進行快速病毒學檢測.同時對臨床特徵進行分析,按是否應用抗生素分為抗生素組146例,未用抗生素組204例.對兩組臨床資料進行統計學比較.結果 350例流感樣病例年齡在20～29歲多于其他各年齡段(P<0.05);抗生素組咳嗽、嚥痛、全身痠痛、腹瀉的髮生率及血白細胞計數、中性粒細胞比例與未用抗生素組比較差異有統計學意義(P<0.05).而體溫恢複正常時間抗生素組為(2.5±1.5)d,未用抗生素組為(2.4±1.9)d,兩組比較差異無統計學意義(P>0.05).結論 應重視建立完善的流感鑑測預警繫統,繫統收集、分析流感樣病例的髮生頻率及流行病學特徵、臨床錶現,隨診、有的放矢進行生物學鑑測、閤理應用抗生素.
목적 분석연구류감양병례적감측결과급기림상특정.방법 대2009년1월7-14일350례류감양병례진행쾌속병독학검측.동시대림상특정진행분석,안시부응용항생소분위항생소조146례,미용항생소조204례.대량조림상자료진행통계학비교.결과 350례류감양병례년령재20～29세다우기타각년령단(P<0.05);항생소조해수、인통、전신산통、복사적발생솔급혈백세포계수、중성립세포비례여미용항생소조비교차이유통계학의의(P<0.05).이체온회복정상시간항생소조위(2.5±1.5)d,미용항생소조위(2.4±1.9)d,량조비교차이무통계학의의(P>0.05).결론 응중시건립완선적류감감측예경계통,계통수집、분석류감양병례적발생빈솔급류행병학특정、림상표현,수진、유적방시진행생물학감측、합리응용항생소.
Objective To analyze the monitoring results of influenza-like cases and their clinical features. Methods Three hundred and fifty cases of influenza-like illness were detected by rapid virological testing. At the same time, the clinical features were analyzed. According to the use of antibiotics, they were divided into two groups, antibiotics group(146 cases) and non antibiotics group(204 cases). Results The patients aged 20 to 29 was more than those in the other ages (P < 0.05) in 350 cases of influenza-like illness.There was significant difference in the morbidity of cough, sore throat, body aches, diarrhea and the blood leukocyte count, neutrophil percentage between two groups (P < 0.05). The body temperature recovery time was (2.5±1.5 ) d in antibiotics group and (2.4±1.9 ) d in non antibiotics group, and there was no significant difference between two groups (P > 0.05). Conclusions In the influenza surveillance program, a early warning system for influenza should established. Collecting and analyzing the information about the frequency,epidemiologieal characteristics and clinical manifestation of influenza-like cases, following up, making biological monitoring and using antibiotics reasonably is the clinically economic, convenient and practical means to prevention and control of influenza outbreaks.
