摘要
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索组为（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。
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.
出处
《中国医师进修杂志》
2010年第22期26-28,共3页
Chinese Journal of Postgraduates of Medicine
关键词
流感
人
监测
抗生素
临床特征
Influenza-like illness
Monitoring
Antibiotics
Clinical features
