广东地区急性上呼吸道感染并发病毒性心肌炎现状及易患影响因素

发布时间：2018-11-12 16:41

【摘要】：目的调查广东地区急性上呼吸道感染患者并发病毒性心肌炎的现状,分析其易患影响因素,为临床防控尤其是急诊一线的防控提供依据。方法选取广东药科大学附属第一医院、北京大学深圳医院及广州市第一人民医院诊断为病毒性心肌炎的患者120例列入病例组,并随机选择同期上述3家医院的单纯急性上呼吸道感染患者120例列入对照组。调查并比较两组患者的一般情况,日常生活、工作、行为方式和患病情形,并采用logistic回归分析筛选出急性上呼吸道感染并发病毒性心肌炎的独立影响因素。结果年龄(x~2=9.866,P=0.007)、月工资收入(x~2=9.572,P=0.023)、睡眠时间(x~2=10.486,P=0.005)、工作时间(x~2=15.495,P=0.000)、生活压力(x~2=9.760,P=0.008)、就业压力(x~2=8.921,P=0.003)、医疗保障类型(x~2=8.877,P=0.031)、身体素质(x~2=9.347,P=0.009)、患病病程(x~2=40.652,P=0.000)、发热情况(x~2=54.024,P=0.000)、患病后运动负荷(x~2=16.229,P=0.000)、就诊态度(x~2=11.886,P=0.003)与急性上呼吸道感染并发病毒性心肌炎有一定的相关性,其中发热(OR=2.323,95% CI 1.234~4.373,P=0.009)是独立影响因素。结论青壮年人群、失业、低收入、睡眠不足、工作超时、生活压力、缺乏必要的医疗保障、身体素质差、病程迁延、拖延就诊、患病后运动负荷大可增加本地区急性上呼吸道感染并发病毒性心肌炎的易患性,而中、高度发热作为独立影响因素则可进一步加大发病的风险,临床上应给予高度重视并积极防治。
[Abstract]:Objective to investigate the current situation of viral myocarditis in patients with acute upper respiratory tract infection in Guangdong province and analyze its risk factors so as to provide evidence for clinical prevention and control, especially for emergency front line prevention and control. Methods 120 patients with viral myocarditis were selected from the first affiliated Hospital of Guangdong Pharmaceutical University, Shenzhen Hospital of Peking University and the first people's Hospital of Guangzhou. 120 patients with simple upper respiratory tract infection were randomly selected as control group. To investigate and compare the general situation, daily life, work, behavior and illness of the two groups, and to screen out the independent influencing factors of acute upper respiratory tract infection complicated with viral myocarditis by logistic regression analysis. Results Age (x / 2 / 9.866 / P), monthly wage income (x ~ (2) / 9.572 / P ~ (0.023), sleep time (x ~ (2) = 10.486 / P ~ (0.005), working time (x ~ (2) ~ (15.495) / P ~ (0.000), stress of living (x ~ (29) 760 / P ~ (0.008), respectively. Employment stress (x / o 2 / 8.921 / P), type of medical security (x / o = 8.877 / P = 0.031), physical quality (x / o = 9.347 / P = 0.009), course of illness (x = 2n = 40.652 / P = 0.000), fever (x = 254.024 / P = 0.000), physical quality (x / o = 9.347 / P = 0.009), course of illness (x = 40.652n = 0.000), or fever. The exercise load after the illness (x2 + 16.229g / kg), attitude to visit the doctor (xF211.886) and acute upper respiratory tract infection complicated with viral myocarditis were associated with fever (OR=2.323,95% CI 1.234 卤4.373, P < 0.05), and there was a significant correlation between the load of exercise and the attitude to visit the hospital (XM211.886, P0. 003), among which fever (OR=2.323,95% CI 1.234 卤4.373). P0. 009) is an independent factor. Conclusion Young and middle-aged people, unemployed, low income, lack of sleep, overtime, stress of life, lack of necessary medical security, poor physical quality, course of disease delay, delay to see a doctor. Exercise load after illness can increase the susceptibility of acute upper respiratory tract infection complicated with viral myocarditis in this area, while high fever as an independent influencing factor can further increase the risk of the disease. We should attach great importance to the prevention and treatment in clinic.
【作者单位】：广东药科大学附属第一医院急诊科;北京大学深圳医院急诊科;广东省广州市第一人民医院重症医学科;广东药科大学附属第一医院心内科;
【基金】：广东省自筹经费类科技计划项目(编号:粤科规划字[2013]137号-10)
【分类号】：R56;R542.21

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