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目的探讨呼吸道症候群监测应用于已知呼吸道疾病监测的可行性。方法对广州市一综合医院信息管理系统(H IS)2005年全年门诊、住院部和X线检查室的临床记录开展回顾性调查,筛选呼吸道症候群监测指标,并与同期广州市流感样病例和该院法定报告呼吸道传染病的发病数进行相关分析。结果从门诊、住院部和X线检查室的临床记录中共筛选出门诊的“肺炎”类似诊断等7个症候群、住院部的“肺炎”类似诊断等4个症候群和X线检查室的门诊X线检查人次/阳性人次等4个症候群拟作为症候群监测指标。其中,门诊肺炎类似诊断与提前4周的流感样病例相关关系最佳(r=0.558),经相关系数假设检验,门诊肺炎类似诊断和本周流感样病例的相关系数只与提前4周的流感样病例相关系数差异有统计学意义(u=2.09,P<0.05),提示门诊肺炎类似诊断的就诊高峰略早于流感样病例,具有较好的指示流感流行的特异性与及时性。住院部肺炎、哮喘类似诊断、门诊X线检查人次/阳性人次等症候群监测指标与不同时间“移位”的流感样病例有相关性,提示其指示流感流行的特异性较好,但这些指标和本周流感样病例的相关系数与其他不同时间“移位”的相关系数差异无统计学意义(P>0.05),提示其指示流感流行的及时性不好。结论门诊肺炎类似诊断作为症候群监测指标应用于已知呼吸道疾病监测(如流感样病例监测)具有一定可行性,住院部哮喘、肺炎和门诊X线检查人次/阳性人次等指标的应用意义次之。
Objective To investigate the feasibility of monitoring respiratory respiratory syndrome in the monitoring of known respiratory diseases. Methods The clinical records of outpatient department, inpatient department and X-ray examination room of Guangzhou General Hospital Information Management System (HIS) were retrospectively surveyed in 2005, and the indicators of respiratory syndrome were screened and compared with the samples of influenza-like illness in Guangzhou The statutory report of the hospital respiratory tract infection incidence analysis. Results From the clinical records of outpatient department, inpatient department and X-ray examination room, seven syndromes such as “pneumonia” and other similar syndromes were diagnosed in inpatient department and 4 syndromes such as “pneumonia” and inpatients’ department of X-ray examination room Of the four outpatient X-ray examinations / positive number of four syndromes to be used as indicators of disease surveillance. Among them, the outpatient pneumonia similar diagnosis and flu 4 weeks in advance the best correlation (r = 0.558), the correlation coefficient hypothesis test, outpatient pneumonia similar diagnosis and flu-like illness this week, the correlation coefficient only with flu 4 weeks ahead of schedule (U = 2.09, P <0.05), suggesting that the diagnosis peak of outpatient pneumonia is slightly earlier than that of influenza-like cases, which has a good indication of the specificity and promptness of influenza epidemic. Inpatients with pneumonia, similar asthma diagnosis, outpatient X-ray examination / positive person inferior syndrome monitoring indicators and different time “shift ” of the flu-like cases, suggesting that it indicates the specificity of the influenza epidemic is better, but these There was no significant difference in the correlation coefficient between this index and this week’s flu-like cases as compared with those at other different times (P> 0.05), suggesting that it indicates the poor timeliness of the flu epidemic. Conclusions The diagnosis of outpatient pneumonia as a syndrome indicator is a feasible method to monitor known respiratory diseases such as influenza-like illness surveillance. Inpatient department asthma, pneumonia and outpatient X-ray examination of the number of times / positive person second-rate indicators of the application significance.