876例肾综合征出血热患者的流行病学和临床特征的回顾性分析

发布时间：2018-03-22 08:10

本文选题：肾综合征出血热　切入点：流行病学　出处：《中华疾病控制杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的研究肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)的流行特征、临床特点及危险因素,为HFRS的预防控制和临床诊断提供依据。方法收集湖北省近5年HFRS临床诊断病例和实验室确诊病例的个案调查资料876例,采用回顾性分析方法,应用SPSS 17.0对数据进行统计分析。结果患者平均年龄为(47.67±13.97)岁,以男性农民为主,症状以轻型、中型为主(80.26%)。临床表现则多见发热(96.69%)、乏力(92.58%)、蛋白尿(88.93%)、血小板减少(80.59%)、白细胞升高(63.70%)等。相关暴露因素中,主要有鼠或鼠排泄物接触史。结论湖北省HFRS患者以轻型和中型为主,同时出现发热、血小板减少和蛋白尿可作为HFRS早期诊断的参考依据;应加强农村防鼠灭鼠工作,开展重点地区重点人群的健康教育工作,提高疫苗接种率。
[Abstract]:Objective to study the epidemic characteristics, clinical characteristics and risk factors of hemorrhagic fever with renal syndrome (HFRS) fever with renal syndromesia (HFRS). Methods the data of 876 cases of HFRS clinical diagnosis and laboratory confirmed cases in Hubei Province in recent 5 years were collected and analyzed retrospectively. Results the average age of the patients was 47.67 卤13.97 years old, the male farmers were the main, the symptoms were mild, the mean age of the patients was 47.67 卤13.97 years, and the mean age of the patients was 47.67 卤13.97 years. The clinical manifestations were mainly fever 96.699.58, proteinuria 88.93C, thrombocytopenia 80.59m, leukocytosis 63.700.The main exposure factors were rat or mouse excreta contact history. Conclusion the patients with HFRS in Hubei Province are mainly light and medium-sized. At the same time, fever, thrombocytopenia and proteinuria could be used as reference for early diagnosis of HFRS.
【作者单位】：武汉科技大学医学院公共卫生学院流行病与卫生统计学教研室;湖北省疾病预防控制中心传染病防治研究所急性传染病防控科;新疆医科大学厚博学院临床教学部;
【分类号】：R181.3;R512.8

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