摘要
目的分析2023年8至12月期间,福建省福州市328例登革热患者的流行病学与临床特征,为今后制订登革热的防控措施和诊治方案提供依据。方法通过横断面研究方法,回顾性总结并分析328例登革热患者(福州市传染病医院313例,第九〇〇医院感染科15例)流行病学资料和其他相关临床资料。结果328例登革热患者确诊时间分布在8~12月份,高峰期在9月份。患者居住地主要分布在福州市鼓楼区(125/328,38.1%)、仓山区(91/328,27.7%)、台江区(52/328,15.9%),均属于市中心区域。性别分布方面:男性占168/328,女性占160/328。年龄主要集中在20~80岁之间,以成年人及老年人群为主。临床表现主要为发热、乏力、头痛、肌痛、关节疼痛等。328例患者中,普通型登革热患者有317例,重症登革热患者有11例;血小板计数减少者有210例,其中血小板计数<50×10^(9)/L者有26例。经积极治疗后328例患者均治愈。结论本研究中的登革热疫情多集中于福州市市中心区域,患者以成年及老年人为主,普通型占大多数,经及时治疗预后较好。
Objective To analyze the epidemiological and clinical characteristics of 328 patients with dengue fever(DF)in Fuzhou,Fujian Province since August 2023 in order to provide evidence to devise the strategies to prevent and control DF,what else to diagnose and treat DF in the future.Methods The results of epidemiological and other relevant clinical characteristics of 328 patients with DF,which include 313 cases from Fuzhou Infectious Disease Hospital and others from the Infection Disease Department,900th Hospital of Joint Logistic Support Force,were retrospectively summarized and analyzed by cross-sectional study.Results A total of 328 patients with DF was confirmed from August to December,and the peak of time was in September.The spatial distribution was mainly in Gulou(38.1%)、Cangshan(27.7%)and Taijiang District(15.9%),all of which were located in the central area of the city.The group of male accounting for 168/328 and female for 160/328.The age was concentrated between 20 and 80 years old,the adults and elderly constituted the majority,and infants and children were rare.The main clinical symptoms of patients infected DENV were fever,fatigue,headache,myalgia,and joint pain,some patients‘s symptoms were facial flushing,rash and so on.The DF includes both general and severe type,and the general type accounted for 317,severe type accounted for 11.Moreover,205 patients had thrombocytopenia,which the blood platelets count(BPC)of 26 cases less than 50×10^(9)/L.All 328 cases were cured after active treatment.Conclusion In the study,the epidemic of DF was mainly located in the central area of the city,which mainly concentrated on adults and elderly people,and its general type occupied the majority.Moreover,good prognosis can be obtained with timely treatment.
作者
郭婷
谢丽平
林涛发
卢友光
吴春香
梁浩
姜天俊
王少扬
GUO Ting;XIE Liping;LIN Taofa;LU Youguang;WU Chunxiang;LIANG Hao;JIANG Tianjun;WANG Shaoyang(Fuzong Clinical Medical College of Fujian Medical University,Fuzhou 350001,China)
出处
《传染病信息》
2024年第4期364-368,共5页
Infectious Disease Information
基金
国家重点研发计划项目子课题(2022YFC2305001)。
关键词
登革热
流行病学
临床特征
预防与治疗
dengue fever
epidemiology
clinical features
prevention and treatment
