海南海口地区细菌性痢疾的流行病学特点及肠功能和生存质量分析

发布时间：2018-01-03 05:11

本文关键词：海南海口地区细菌性痢疾的流行病学特点及肠功能和生存质量分析　出处：《中国地方病防治杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的研究海南海口地区细菌性痢疾的流行病学特点,分析其对患者的肠功能和生存质量影响。方法选取哨点医院收治的痢疾患者776例作为观察组,记录患者的一般资料,发病时间,发病时症状情况,包括大便次数、大便性状等症状,结合患者的发病时间及实验室粪便检查结果,回顾性分析该区痢疾的分布特点。另取同期健康体检者135例作为对照组,观察和比较两组肠道功能和生活质量状况。结果海南省海口市细菌性痢疾发病呈明显的夏秋季高峰,发病主要集中在6~9月份,占全年总发病数的74.09%。市区发病人数514例,发病率为66.23%,郊区发病人数为262例,发病率为33.76%,市区发病率明显高于郊区发病率(χ~2=163,P0.01)。根据患者年龄的统计数据显示,0~4岁间的患儿发病人数有419例,占总发病数的53.99%,为各年龄中比例最多的,其次是20~39岁组患者,有201例,占总发病数的25.90%。观察组患者每天大便次数明显较高(P0.05)。观察组患者的各项生存质量评分均显著低于对照组(P0.05)。结论海南省海口市细菌性痢疾发病有明显的地区性季节性和年龄差异,该病严重影响患者的肠功能和生存质量,各地应根据其疫情特点制定针对性的防控措施以降低该病的发病率。
[Abstract]:Objective to study the epidemiological characteristics of bacillary dysentery in Haikou, Hainan, and to analyze its effect on intestinal function and quality of life. Methods 776 patients with dysentery were selected as observation group. Records the general information of the patients, onset time, symptoms, including defecation times, stool traits and other symptoms, combined with the onset of patients and laboratory stool test results. The distribution characteristics of dysentery in this area were analyzed retrospectively. 135 healthy persons were taken as the control group. Results the incidence of bacillary dysentery in Haikou City of Hainan Province showed an obvious peak in summer and autumn. The incidence of bacillary dysentery mainly occurred in June and September. The incidence rate was 66.23 in urban area and 262 in suburban area, and the incidence rate was 33.76%. The incidence rate in urban area was significantly higher than that in suburban area (蠂 2 163 P 0.01). According to the statistical data of the patients, there were 419 cases of children aged 4 years old. Accounting for 53.99% of the total incidence, the largest proportion of each age, followed by 2039 years old patients, 201 cases. The number of patients in the observation group was significantly higher than that in the control group (P 0.05). The scores of quality of life of the patients in the observation group were significantly lower than those in the control group (P 0.05). Conclusion the incidence of bacillary dysentery in Haikou City of Hainan Province has obvious seasonal and age differences. The disease seriously affects the intestinal function and quality of life of the patients. According to the characteristics of the epidemic situation, local prevention and control measures should be formulated to reduce the incidence of the disease.
【作者单位】：海南省农垦总医院消化内科;海南省农垦卫生学校护理教研组;
【基金】：海南省自然科学基金课题项目编号309118
【分类号】：R516.4;R181.3
【正文快照】： 细菌性痢疾(菌痢)是以结肠化脓性炎症为主要病变的一种肠道传染病,主要临床表现全身中毒症状、发热、腹痛、腹泻、里急后重、脓血便[1-2]。我国每年菌痢发病仍有27万人次之多,占临床就诊的腹泻患者比例的5%~15%[3]。根据菌痢监测数据显示,我国痢疾患者总体有逐年下降的趋势,但

【相似文献】