广州军队医院SARS病例流行病学特点分析

发布时间：2018-04-19 22:18

  本文选题：严重急性呼吸综合征(SARS) + 流行病学　； 参考：《中国公共卫生》2004年10期

【摘要】：目的　分析广州市军队医院收治的SARS病例的临床流行病学特点 ,为防治对策和措施提供科学依据。方法　采用查阅病历、面对面访谈、电话调查及现场调查相结合的方法 ,收集SARS病例流行病学和临床诊治资料 ,利用SPSS软件 10 0分析SARS病例分布特点和恢复期血清IgG抗体情况。 结果　 14 7例SARS临床诊断病例中 ,10 9例分布于广州市各个辖区 ,有 38例来自外地 ;发病年龄主要集中在 18～ 4 8岁 ;37例属于聚集性病例 ,4 9例有明确的接触史 (33 33% ) ;死亡 7例。检测 90例恢复期血清特异性IgG抗体 ,阳性 4 6例 ,有同类病例接触史者血清抗体阳性率为 85 2 9% ,高于无接触史者的 2 7 6 6 % (P 0 0 0 1)。发热时间≥ 7d者血清抗体阳性率为 6 8 89% ,高于发热 7d者的 30 95 % (P 0 0 0 1)。结论　广州军队医院收治的SARS病例流行病学特点与广东省疫情态势基本一致 ;流行病学接触史加血清学结果有助于病例确诊 ;存在未明的传染来源或传播方式。
[Abstract]:Objective to analyze the clinical epidemiological characteristics of SARS cases in Guangzhou military Hospital and to provide scientific basis for prevention and treatment. Methods the data of epidemiology, clinical diagnosis and treatment of SARS were collected by means of consulting medical records, face to face interview, telephone survey and field investigation. SPSS software 100 was used to analyze the distribution of SARS cases and the serum IgG antibody in convalescent stage. Results among 147 cases of SARS, 109 cases were located in various districts of Guangzhou, 38 cases were from other places. The age of onset was mainly from 18 to 48 years old in 37 cases of agglomeration, 49 cases had a definite contact history (33 33%), and 7 cases died. The positive rate of serum specific IgG antibody in 90 convalescent patients was 85.29%, which was higher than that in non-contact patients (27.66%, P 0.001). The positive rate of serum antibody in patients with fever 鈮，

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