摘要
目的分析河南省漯河市、周口市、信阳市三地区新型冠状病毒肺炎(COVID-19)的收治情况及流行特征,为制定疫情防控策略和措施提供科学依据。方法参照国家卫生健康委员会发布的《新型冠状病毒肺炎诊疗方案》中提出的确诊病例标准,纳入河南省漯河市、周口市、信阳市三地区截止到2020年3月16日确诊的COVID-19患者为研究对象。通过调查患者的病例资料,包括一般情况、发病时临床症状,疫区暴露史等,填写“新型冠状病毒感染的肺炎病例个案调查表”。再由专人双录入计算机并建立Excel病案信息库。对结果进行流行病学分析,采用例数、构成比等表示。结果截止到2020年3月16日河南省漯河市(35例)、周口市(76例)、信阳市(274例)共收治并确诊385例COVID-19患者,包括危重患者26例,死亡2例,死亡率为0.52%。男女比为1.55∶1。10~<60岁者占83.38%,≥60岁者占15.32%。农民或农民工居多,占48.31%,其次为个体经营者占26.75%。从行政区域划分,信阳地区患者占71.17%,其中浉河区、平桥区、罗山县、光山县、固始县为信阳地区疫情高发区。有明确武汉疫区暴露史者占54.54%,与本地病例密切接触后发病的“二代病例”占33.51%。发病时伴有发热、畏寒、乏力症状者占89.87%。发病后按流感自行服药者占64.68%,合并慢性疾病者占30.13%。发病高峰集中在1月22日至2月2日,其中1月24日最高,2月4日之后发病逐渐趋缓。从发病至临床确诊时间间隔多在1~7 d,占比81.56%。结论COVID-19前期防控措施成效显现,疫情整体趋缓,随着复工、复产、复学等人流高峰的出现,建议将防控策略从面上防控转为精准防控。
Objective To analyze the clinical and epidemiological characteristics of corona virus disease 2019(COVID-19)in Luohe,Zhoukou and Xinyang,Henan Province,so as to provide scientific basis for formulating prevention and control strategies and measures.Methods According to the standard of confirmed cases proposed in the“COVID-19 Diagnosis and Treatment Program”issued by the National Health Commission,patients who diagnosed as COVID-19 in Luohe,Zhoukou,and Xinyang in Henan Province as of March 16,2020.The patient's case information was investigated,including the general situation,clinical symptoms at the time of onset,history of exposure in the epidemic area,etc.The“COVID-19 Cases Investigation Form”was filled out.Then the medical record informations was double-entered into the computer and was established as an Excel database.The epidemiological characteristics of the results was analyzed,which was expressed by the number of cases and composition ratio.Results As of March 16,2020,385 patients came form Luohe(35 cases),Zhoukou(76 cases),and Xinyang(274 cases)of Henan Province had been treated and diagnosed as COVID-19,including 26 critically ill patients and 2 deaths,the mortality rate was 0.52%.The ratio of male to female was 1.55∶1.From 10 to 60 ages group accounted for 83.38%,and≥60 ages accounted for 15.32%.The majority of farmers or migrant workers accounted for 48.31%,followed by self-employed persons accounted for 26.75%.According to administrative divisions,patients in Xinyang area accounted for 71.17%.Among them,Shihe District,Pingqiao District,Luoshan County,Guangshan County,and Gushi County were the high incidence areas in Xinyang.About 54.54%of the persons had a clear history of exposure in Wuhan epidemic area,and 33.51%of the“second-generation cases”who had the history of contact with confirmed patients.There were 89.87%cases of fever,chills,and fatigue symptoms.There were 64.68%cases of self-medication according to influenza,and 30.13%had chronic diseases.The peak of incidence was concent
作者
王伟
李俊明
WANG Wei;LI Jun-ming(Department of Microscopic Orthopedic,the Second Affiliated Hospital of Luohe Medical Collage,Luohe 462300,China)
出处
《河南医学研究》
CAS
2020年第18期3265-3268,共4页
Henan Medical Research
基金
河南省高校重点支持项目(16A320040)。
关键词
新型冠状病毒肺炎
临床表现
流行病学特征
novel coronavirus pneumonia
clinical manifestation
epidemiological characteristic
