摘要
目的分析急性腹泻患儿临床特征及轮状病毒检出情况。方法选取2008年3月~2018年2月在西安交通大学第一附属医院儿科住院的582例急性腹泻患儿临床资料,分析腹泻及轮状病毒感染的时间分布、人群分布以及临床特征。结果腹泻病例例数于2018年达最低,2011年~2017年呈逐年升高趋势;轮状病毒检出例数于2011年达最低;共有447例腹泻病例进行了轮状病毒检测,阳性242例,阳性率为54.14%(242/447),男女轮状病毒检出率分别为56.10%和51.74%,差异无统计学意义(P>0.05);3岁以下腹泻病例占88.14%,城市腹泻病例占46.22%;1岁以下轮状病毒检出率为52.99%(71/134)、1~3岁轮状病毒检出率为57.04%(166/291)、3~13岁11个月轮状病毒检出率为22.73%(5/22),不同年龄段轮状病毒检出率比较,差异有统计学意义(P<0.05);散居病例轮状病毒检出率占55.32%(234/423),幼托病例轮状病毒检出率占25.00%(5/20),居住方式不详轮状病毒检出率占75.00%(3/4),不同居住方式轮状病毒检出率比较,差异有统计学意义(P<0.05);242例轮状病毒感染阳性病例中,不同腹泻持续时间、体温最高值、腹泻严重程度的患者轮状病毒检出率比较,差异有统计学意义(P<0.05)。结论腹泻病例主要集中在3岁以下,以散居儿童为主,轮状病毒感染与腹泻临床严重程度相关,为儿童腹泻住院的重要原因之一。
Objective To analyze the clinical characteristics and detection of rotavirus in children with acute diarrhea.Methods The clinical data of 582 children with acute diarrhea who were admitted to the pediatric department of the First Affiliated Hospital of Xi'an Jiaotong University from March 2008 to February 2018 were selected.Results The number of cases of diarrhea reached the lowest in 2018 and showed a year-on-year increase from 2011 to 2017;the number of rotavirus detection reached the lowest in 2011;a total of 447 cases were tested for rotavirus,with a positive rate of 242 cases and a positive rate It was 54.14%(242/447),and the detection rates of male and female rotavirus were 56.10%and 51.74%,the difference was not statistically significant(P>0.05).Diarrhea cases were mainly concentrated under 3 years old,accounting for 88.14%,and urban diarrhea cases accounted for 46.22%;the detection rate of rotavirus under 1 year old is 52.99%(71/134),the detection rate of rotavirus between 1 and 3 years old is 57.04%(166/291),and the age of 3 to 13 years and 11 months is rotavirus the detection rate was 22.73%(5/22),the detection rate of rotavirus in different age groups was statistically significant(P<0.05);the detection rate of rotavirus in scattered cases accounted for 55.32%(234/423),and the nursery case was rotatable.The virus detection rate accounted for 25.00%(5/20),the unknown rotavirus detection rate was 75.00%(3/4),the detection rates of rotavirus in different residential modes were statistically significant(P<0.05);242 cases Among rotavirus-positive cases,the rotavirus detection rate of patients with different durations of diarrhea duration,maximum body temperature,and severity of diarrhea was compared,the differences were statistically significant(P<0.05).Conclusion Diarrhea cases are mainly concentrated in children under 3 years old,mainly scattered children.Rotavirus infection is related to the clinical severity of diarrhea,which is one of the important reasons for hospitalization of diarrhea in children.
作者
王菡
刘小红
WANG Han;LIU Xiao-hong(Department of Pediatrics,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China)
出处
《医学信息》
2020年第3期133-135,共3页
Journal of Medical Information
关键词
儿童
腹泻
轮状病毒
流行病学
Children
Diarrhea
Rotavirus
Epidemiology
